What are the responsibilities and job description for the Clinical Coder position at Think Whole Person Healthcare?
CORE VALUE COMMITMENT :
In common mission, our teams work together with our patients at the center. We strive to continuously improve. We value one another's diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.
JOB SUMMARY :
The Clinical Coder is responsible for performing and ensuring the accurate and timely completion of patient record coding. This role serves as the educator, subject matter expert, and liaison for all coding matters. The Clinical Coder investigates and resolves coding related issues and leads the process improvement efforts to minimize inefficiencies, enhancing the patient experience.
ESSENTIAL JOB FUNCTIONS :
- Perform coding activities to assure accurate completion of coding for all patient records including review of each charge submission for accuracy, addition of appropriate modifiers, scrubbing of claims, preparation for insurance submission, and closing of clean batches.
- Analyze medical records for complete documentation and directly communicate with providers for clarification on any documentation that is incomplete or inaccurate.
- Remain current on all coding related regulations, standards, guidelines, industry trends, and Medicare announcements.
- Educate physicians, clinicians, and other healthcare staff on changes to coding policies, standards, regulations and advocate for proper documentation practices.
- Investigate and problem solve all contractual obligation (CO) denials received from the billing staff on charges reviewed and coded. Inform billing staff of the proper correction needed to reprocess the denied claims.
- Investigate and resolve all patient requests relating to the billing and coding of patient visits and subsequent bill received.
KNOWLEDGE, SKILLS & ABILITIES
EDUCATION & EXPERIENCE :
Medical coding training course or equivalent experience required, and associate's degree preferred. Certified Professional Coder (CPC) through National American Academy of Professional Coders (AAPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Associate (CCA), or Certified Coding Specialist - Physician -based (CCS-P) through American Health Information Management Association (AHIMA) required.
NOTE : The information above reflects the general nature of job duties. From time to time, additional duties may be assigned.
Think Whole Person Healthcare is an Equal Opportunity Employer
