What are the responsibilities and job description for the Certified Coder position at KLAMATH HEALTH PARTNERSHIP INC?
Join Our Team as a Certified Coder at Klamath Health Partnership!
About Us: Klamath Health Partnership, Inc. (KHP), is a Federally Qualified Health Center whose mission is to provide accessible, quality-driven, responsive, patient-centered health services to the community, with an emphasis on those who need us most. Staffed by a comprehensive team of over 50 health professionals and over 100 support personnel, KHP is the second-largest healthcare provider in the Klamath Basin.
The Certified Coder is responsible for accounts receivable, posting payments, claims processing, scheduling and collection of patient and insurance payments. The Certified Coder performs account audits whenever necessary to ascertain correctness of account balances.
Key Responsibilities
- Assist in collections and accounts receivable by reviewing transactions in eCW.
- Assist in coding with appropriate diagnosis and procedure codes using ICD-10 and CPT codebooks. Process Commercial and DMAP claims.
- Assist in billing of all Commercial Insurances, Medicare, OHP (DMAP, Cascade Health Alliance), Workman’s Compensation, Personal Injury, etc. Print and review for accuracy all weekly charges to the above insurance carriers making sure all documentation is appropriate for fast and correct reimbursement.
- Pull chart notes for billing with claims that require chart notes for reimbursement. Call insurance companies and OHP to ascertain benefit coverage and dates. Bill secondary insurance as needed. Read all insurance updates for changes in billing procedures and rules.
- Assist in posting of all insurance and patient payments received in the clinic and in the mail.
- Resubmit for review all insurance rejections and perform follow up on any outstanding insurance balances.
- Collect patient co-payments and sliding fee scale payments.
- Evaluate all customer complaints and implement appropriate corrections under the direction of the Billing Manager.
- Performs other duties as assigned.
Desired Knowledge, Skills, and Abilities:
? High school diploma or general education degree; or three to six months’ related experience and/or training; or a combination of education and experience.
? Knowledge of procedure codes and diagnosis (ICD-10 and CPT codes).
? Knowledge of insurance billing procedures.
? Possess the tact necessary to deal effectively with patients, physicians and co-workers.
? Must have excellent verbal and written communication skills.
Accommodations
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to walk, talk, bend, lift, carry, write, and hear. The employee frequently is required to stand, walk, sit and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus.
