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Medical Coder, CPC or CCS-P
Location
South Carolina
Posted
143 days ago
Salary
0
Seniority
Mid Level
Job Description
Medical Coder, CPC or CCS-P
Crossroads
• Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding). • Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records. • Ensures diagnosis codes meet local and national medical necessity guidelines. • Be knowledgeable of billing and coding requirements for governmental and private insurance payers. • Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services. • Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting. • Review and resolves coding edits and denials. • Assists with rebilling accounts when necessary. • Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding. • Follow all HIPAA regulations and uphold a higher standard around privacy requirements. • Completes all assigned work in a timely manner based on internal and/or payer standards. • Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate. • Attending and reporting at weekly team calls with Director of Medical Coding Compliance. • Reporting coding patterns identified within the coding process to management. • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials. • Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes. • May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation. • Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance or Chief Compliance Officer.
Job Requirements
- Certified Professional Coder (CPC®) or CCS-P
- High School diploma, GED or equivalent.
- Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding.
- Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred.
- An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred.
- An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding.
- Computer literate adept skill level on MS Office applications.
- Experience in Mental Health or Addiction Medicine a plus.
Benefits
- Have a daily impact on many lives
- Excellent training if you are new to this field.
- Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
- Community events that promotes belonging and education .
- Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.
- Opportunity to save lives everyday!
- Medical, Dental, and Vision Insurance
- PTO
- Variety of 401K options including a match program with no vesting period
- Annual Continuing Education Allowance (in related field)
- Life Insurance
- Short/Long Term Disability
- Paid maternity/paternity leave
- Mental Health day
- Calm subscription for all employees
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