Job Description
Job DescriptionDescription:
ARC Health OPCO (ARC) is the newest generation Management Service Organization (MSO) for mental healthcare. Headquartered in Independence, OH ARC is a fast-growing, affiliation-led platform that focuses exclusively on partnering with and operating mental health practices under the ARC business model. Practice partners that are part of ARC have the benefit of being able to focus on patient care while receiving the support of experienced professionals who are committed to the growth and success of their practices. ARC will allow practices to focus on the clinical aspects of the business by relieving the growing administrative burden facing medical practices today.
OPPORTUNITY
As a Medical Coder, you will play a critical role in auditing and reviewing medical charts to ensure accurate coding for behavioral health services. This position involves analyzing patient records, ensuring compliance with coding guidelines, and assisting in improving the overall billing process. A strong understanding of medical terminology, coding guidelines, and behavioral health services is essential.
KEY RESPONSIBILITIES
- Review and audit patient charts for correct coding and documentation in accordance with regulatory and payer guidelines.
- Ensure that ICD-10, CPT, and HCPCS codes are accurately assigned and reflect the services provided.
- Identify and resolve coding discrepancies, ensuring that all issues are documented and communicated appropriately.
- Collaborate with the clinical team to clarify or verify information necessary for accurate coding.
- Provide feedback and training to providers and other staff on proper documentation practices.
- Monitor coding trends and assist in the development of process improvements for coding accuracy.
- Assist with internal audits and prepare documentation for external audits when needed.
- Stay updated with current coding standards, payer-specific guidelines, and regulations for behavioral health.
- Support the claims submission process by ensuring that all coding meets the necessary compliance and billing requirements
Requirements:
REQUIREMENTS
- High school diploma or equivalent.
- Minimum of 5 years of experience in medical coding.
- Familiarity with medical billing software and electronic health records (EHR) systems.
- Strong understanding of patient billing and insurance processes.
- Understanding of ICD-10, CPT, and HCPCS coding systems and behavioral health-specific coding practices.
- Excellent communication and interpersonal skills, with the ability to work collaboratively in a team environment.
- Attention to detail and strong organizational skills.
- Ability to work independently and manage time effectively.
- Ability to communicate effectively in both oral and written forms; interact positively and constructively with staff, clients, community and representatives.
- Proficient with Microsoft Office Suite.
- Strong analytical and critical thinking skills.
- Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPAA guidelines.