Coding Specialist
Coding Specialist
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Job Description
The Opportunity:
The purpose of the Coding Specialist position is to ensure accurate and efficient coding of services related to behavioral health treatments and interventions within the tricounty organization. The role plays a critical part in maintaining compliance with regulatory requirements facilitating reimbursement processes and supporting the overall financial integrity of the behavioral health programs. The Coding Specialist will collaborate closely with clinical staff and billing department to streamline coding procedures and optimize revenue capture while upholding the highest standards of confidentiality and ethical coding practices.
This is a fulltime onsite position. The starting pay range for this role is $23.90 to $26.00 based on education and experience.
Who We Are:
North Central Health Care is an organization serving Langlade Lincoln and Marathon counties within the fields of mental health treatment addiction services long term care short term care physical therapy crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team.
What Youll Do:
- Maintains regular attendance with minimal or no tardiness.
- Selfefficient and demonstrates capacity to work independently without close supervision.
- Assigns diagnosis and procedure codes using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
- Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
- Able to complete a concise query to medical providers when there is conflicting missing or unclear documentation.
- Performs documentation audits and as a result creates and delivers education and feedback based on outcomes.
- Examines documentation within the medical record with accurate interpretation.
- Communicates tactfully and respectfully and always maintains professional communication with providers clinicians and other staff members.
- Maintains knowledge of HIPAA and works to ensure compliance and enforcement of the policies and procedures to ensure the confidentiality integrity and availability of protected health information.
- Assists billing and collections team with responses to insurance carrier payment denial and charge corrections.
- Consistently identifies opportunities to improve clinical documentation and workflows.
- Works with Inpatient and Outpatient medical staff.
- Codes and audits medical records to ensure proper ICD10 and CPT codes were submitted correctly for reimbursement.
- Identifies trends in discrepancies by location physician and/or specialty for training purposes.
- Advanced knowledge of medical terminology anatomy pathophysiology pharmacology and ancillary test results.
- Proficient with Microsoft Office applications (Outlook Word Excel)
- Ability to quickly analyze a situation problem solve and prioritize.
- Works in collaboration with a team is well organized and has strong attention to detail and accuracy.
- Ability to handle a highvolume workload.
- Communicates with staff on deficient incomplete or unclear documentation.
- Consults outside information and sources of knowledge in cases where coding is complex or unusual.
- Helps with implementation of new ICD and CPT changes
What You Bring:
Minimum Education:
- High School diploma or equivalent
- Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) with proficiency in ICD10
Minimum Work Experience:
- Minimum of one 1 year of relevant coding experience including direct application of medical codes or equivalent experience in a healthcarerelated setting.
Required Skills:
- Strong experience with review and interpretation of medical record and billing documentation.
- Experience working in behavioral health and/or medical care setting.
- Knowledge of ICD10 and CPT codes.
Preferred Qualifications:
- Associates degree in health information management or a related field preferred.
- Medical terminology and clinical workflows.
- Experience in medical coding.
What Youll Get:
- The starting pay range for this role is $23.90 to $26.00 based on education and experience.
- This job is fulltime and in person.
- PTO paid holidays health insurance dental insurance vision insurance onsite bistro and cafeteria pharmacy newly updated facility life insurance accident insurance hospital insurance employee assistance program employee discounts.
- As an employee of NCHC you could be eligible for the Wisconsin Retirement System (WRS). The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. Participating staff contribute 6.95 and NCHC will match this at 100 each pay period!
In compliance with the American with Disabilities Act NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
