Job Description
Job DescriptionSalary: DOE
Teche Health, 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
- Monitor 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 patientaccount 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
Benefits Package:
- Medical, Vision and Dental Health Insurance
- Accidental Insurance
- Critical Illness Insurance
- Long Term Benefits
- Short Term Benefits
- Free Life Insurance
- 401K Plan Benefits
- Paid Vacation
- Paid Sick Time
- Set Schedule
- National Health Service Corps Site
- 11 paid holidays
- Family-Friendly Work Environment
- Eligible for Student Loan Forgiveness through Federal and State Programs
Eligibility Requirements:
- All employees must meet eligibility standards in order to be considered for the position applying for. Internal applicants must be with be with the organization for at least one year, with no disciplinary actions on file. If you have not been with the organization for a year, approval from your direct supervisor will be needed.
**Due to CMS Mandate all applicants must be fully vaccinated prior to onboarding with Teche Health with the exception of an approved Medical or Religious Exemption.**