What are the responsibilities and job description for the Certified Coder position at Southwest Montana Community Health Center?
Certified Coder
Full-time, M-F
Starting wage DOE
Position Summary
Full-time, M-F
Starting wage DOE
Position Summary
Under the general direction and supervision of the Billing Supervisor, this position performs patient billing processes, to include, but not limited to, billing and third-party payer filings, review of superbill or electronic equivalent, review and reconciliation of invoices for patient related ancillary services, etc.
Position Requirements
Education: High School Diploma or equivalent
Certification: Current Certification through American Health Information Management Association, AAPC or equivalent is required
Experience: At least 3 years of experience in a healthcare setting required; FQHC or RHC experience preferred; superior customer service skills required; demonstrated experience with electronic health records and practice management systems required; medical coding in a community health center setting preferred; competence in working with diverse populations required; knowledge of FQHC billing guidelines is preferred.
Essential Functions, Roles, and Responsibilities
· Serves as ambassador of SWMTCHC with all patients, vendors, etc.
· Reviews superbill or electronic equivalent for accuracy and completeness in coding and charging
· Enters patient fees and codes into practice management system
· Runs and verifies Daily Close/End of Day reports
· Receives, processes and posts hospital charges
· Processes patient statements
· Processes patient third party billings
· Posts insurance payments and works denials
· Works outstanding accounts receivable
· Maintains patient accounts and billing files and scans billing documents into practice management system as appropriate
· Assists with investigating, processing and resubmitting patient third party explanation of benefit statements
· Determines and processes patient fee adjustments
· Responds to questions concerning patient accounts
· Monitors patient account receivables and identifies and refers delinquent accounts to appropriate party
· Reviews and reconciles invoices for patient ancillary services
· Remains current with standards of health care billing and coding practices
· Complies with center’s policies and procedures
· Operates specialized office equipment
· Participates in continuous quality improvement activities
· Other duties as assigned by the Billing Supervisor
Knowledge, Skills and Abilities
· General accounting skills
· Knowledge of CPT and ICD-10 codes and use of automated information management system software
· Experience researching guidelines for services by various providers to include documentation requirements, CPT coding, ICD 10 coding as well as insurance billing guidelines
· Ability to create education guidelines for staff such as nurses, lab techs, front office, and others
· Technically proficient computer skills
· Thorough knowledge of common office equipment (copier, fax, printer, etc.)
· Excellent oral and written communication skills
· The ability to communicate effectively with patients and staff using excellent customer service skills
· Ability to organize and prioritize tasks
· Ability to work under pressure and meet deadlines
· Strong analytical, attention to detail and problem-solving skills
· Ability to work independently and as a team member
Legal Concepts
- Practices with the scope of education, training, and personal capabilities
- Maintains confidentiality
- Follows federal, state and local legal guidelines; follows license criteria when licensure applies
- Maintains HIPAA & OSHA compliance
- Reports any evidence of abuse or neglect to provider or appropriate official
Supervision: This position has no supervisory responsibilities
Immediate Supervisor: Billing Supervisor; CFO in their absence
Physical Demands/Working Conditions:
General office/clinic conditions are pleasant; good, clean working conditions where accident and hazards are negligible; Clear diction and acute hearing are necessary for effective communication with the staff and public in person and over the phone. Must possess visual acuity adequate to perform job duties, including reading information from printed sources and computer screens. Requires long periods of sitting and operating a computer. May require short periods of moderate lifting, pushing or pulling objects up to twenty pounds.
Southwest Montana Community Health Center is an Equal Opportunity Employer
Salary : $18 - $20
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