Job Description
Job DescriptionSalary: DOE
Teche Action Clinic, A Federally Qualified Health Center, per Section 330 of the Public Health Service Act, is currently seeking qualified applicants for the Medical Coder position in Franklin, Louisiana.
JOB SUMMARY:
The Medical Coder is responsible for accurately translating healthcare services into standardized codes for billing and reimbursement purposes. This position requires expertise in medical coding, familiarity with insurance regulations, and the ability to ensure that medical records are complete and accurate.
JOB DUTIES
AND
RESPONSIBILITIES:
Review patient medical records to determine appropriate codes for diagnoses and procedures
Assign ICD-10, CPT, and HCPCS codes based on clinical documentation
Ensure accuracy and compliance with insurance and government regulations
Work with providers to clarify documentation and correct coding errors
Reports to Billing Supervisor relevant coding trends and denial issues
Monitdr coding trends to ensure that coding practices remain in compliance with updated regulations
Assist with coding audits and reviews
Collaborate with the billing department to ensure proper claim submission.
Works with other staff to follow-up on accounts until zero balances
Assists with coding and error resolution
Contacting payers on denials and correcting claims for resubmission and payment
Assists with answering the telephone, taking and relaying messages
Maintains required billing records, reports and files
Understands and observes organization policies regarding confidentiality and security of information
Retrieve online remittance advices
Posts all payments to patient accounts accordingly and in a timely manner
Assist PSR's with billing and account inquiries including but not limited to voiding payments posted in error and patient
account inquiries
Maintains information on encounters not received by providers and communicates this information with those providers
Working assigned special projects as needed
Effectively communicates with the organization and with the community to provide quality services
Serves as a resource when needed, including assisting in co-worker training and orientation
Participates in educational experiences designed to maintain competence
Other duties as assigned
QUALIFICATIONS:
3+ years of experience in medical coding, with a strong understanding of ICD-10, CPT, and HCPCS codes.
Experience with coding audits and payer-specific requirements.
Strong attention to detail and problem-solving skills.
Proficient in medical coding software and EHR systems.
Ability to work in a fast-paced environment while maintaining accuracy.
Math Ability: Basic understanding of mathematics
Computer Skills: Understanding of Microsoft Office (Excel, Word, etc.)
Professional and Communication Skills: Must be able to communicate with patients and coworkers in a professional manner, follow basic instructions, work independently and as part of a team, be able to work with a deadline, be able to operate a fax machine, copier, adding machine and a multi-line telephone
**Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with TAC with the exception of an approved Medical or Religious Exemption.**