Coding Specialist Certified/Non Certified

Coding Specialist-Certified/Non-Certified

• Salary Range:$26 - $31.20/hour based on relevant years of experience- (Certified coding Specialists)
  • Coding Specialist (non-certified) $24 - $28.80
• Location: Larimer county Colorado
• Status: 40 hours per week
• Hours: Monday - Friday

Role Overview:

Responsible for reviewing client records abstracting relevant clinical information and confirming the appropriate behavioral health and medical codes are assigned for accurate billing and reimbursement. This role will serve as quality control for the clinical team responsible for submitting their own billing.

Essential Duties:

• Review and verify documentation for diagnosis procedures and treatment results have been assigned accurate codes based on current ICD-10 CPT and HCPCS coding guidelines.
• Review codes for additional billing requirements such as modifiers number of units or place of service to ensure compliance and accurate billing.
• Ensure that codes are sequenced appropriately in accordance with federal state and payer-specific requirements.
• Review and verify coding follows behavioral health or medical coding guidelines and policies as appropriate.
• Communicate with staff to clarify ambiguous documentation or coding concerns.
• Receive research and respond to provider/clinician and management inquiries about the coding of clinical services.
• Utilizes the State Behavioral Health Services Billing Manual as a resource for behavioral health coding and keeps up to date on changes to coding regulations.
• Serve as a resource for staff.
• Perform other duties as assigned.

Required:

• High school diploma or completion of G.E.D. required
• Three years of experienced billing preferred.
• At least one year of experience in coding required.
• Experience utilizing an EMR required
• Experience in EPIC preferred.
• Experience in the behavioral health field preferred.
• Equivalent combination of education and experience may be evaluated and considered.

Licenses and Certifications:

• Certification from AAPC or AHIMA required (e.g. CPC CRC CCS or CCS-P)
  

Highly Desired:

• Bilingual/bi-cultural preferred

Total Rewards

At SummitStone Health Partners we are proud to offer a comprehensive and competitive benefits package designed to support the well-being of our team members. Eligibility and pro-rated benefit levels are based on FTE (full-time equivalent) status.

Below are some of the benefits we offer:

• Medical dental and vision coverage including options for eligible dependents
• Mental health and wellness resources
• Short-term and long-term disability insurances
• Paid time off (PTO): Accrued vacation and personal leave based on FTE status and length of service
• Paid Sick Leave: Provided in accordance with the Colorado Healthy Families and Workplaces Act (HFWA)
• A range of voluntary benefits available to all employees
• 403(b) retirement plan with employer matching contributions

Reach Out

SummitStone will provide persons with disabilities with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or selection process please let your recruiter know.

Questions Please email us at

This position will be open for a minimum of three days and/or until a top candidate is identified.