Presbyterian exists to improve the health of the patients, members and communities we serve. Since 1908.
IP Facility Coder
Location
New Mexico
Posted
15 days ago
Salary
0
Seniority
Senior
Job Description
IP Facility Coder
Presbyterian Healthcare Services
• Code all inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services • Ensure adherence to Hospital and Departmental Policies and Procedures • Demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty • Review patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG • Access several systems via the computer to research the medical record to code in a timely manner • Take responsibility for accounts receivable by looking for lost documents • Maintain and disseminate up-to-date technical knowledge of legal and regulatory information concerning the given business area • Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts
Job Requirements
- High school diploma/GED required
- Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire
- Three to five years experience as a coder required.
Benefits
- comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits
- Employee Wellness rewards program designed to provide opportunities to enhance health and activate well-being.
- Earn gift cards and more by participating in wellness activities like wellness challenges, webinars, preventive screenings and more.
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
Mental Health – Behavioral Health Medical Biller and Coder
Winning Assistants LLCWe provide virtual assistants from the top 1% global talent pool to help companies scale & streamline operations.
• The company is seeking a highly detail-oriented and experienced Mental Health / Behavioral Health Medical Biller and Coder (Billing & Coding Support) with a strong background in medical billing, CPT/ICD-10 coding, and behavioral health operations. • This role is critical in ensuring accurate and timely claim submissions while supporting administrative and front-office operations. • The ideal candidate is proactive, organized, and capable of meeting strict billing turnaround deadlines in a fast-paced behavioral health environment. • Clear billing queues in AdvancedMD • Handle reconciliations and billing follow-ups • Process claims through the Availity RCM system • Ensure accurate CPT and ICD-10 coding • Submit claims within strict 24–36 hour turnaround deadlines • Monitor and reduce claim denials • Run billing and financial reports using AdvancedMD and Excel • Perform insurance verification through AdvancedMD and Ohio Medicaid Provider Network Management tools. • Handle general back-office administrative tasks • Support communication through email, phone calls, messaging apps/CRM systems (Slack, Salesforce, WhatsApp, Skype), and video conferencing tools (Zoom, Google Meet).
Role Description The company is seeking a highly detail-oriented and experienced Mental Health / Behavioral Health Medical Biller and Coder (Billing & Coding Support) with a strong background in medical billing, CPT/ICD-10 coding, and behavioral health operations. This role is critical in ensuring accurate and timely claim submissions while supporting administrative and front-office operations. The ideal candidate is proactive, organized, and capable of meeting strict billing turnaround deadlines in a fast-paced behavioral health environment. - Clear billing queues in AdvancedMD - Handle reconciliations and billing follow-ups - Process claims through the Availity RCM system - Ensure accurate CPT and ICD-10 coding - Submit claims within strict 24–36 hour turnaround deadlines - Monitor and reduce claim denials - Run billing and financial reports using AdvancedMD and Excel - Perform insurance verification through AdvancedMD and Ohio Medicaid Provider Network Management tools - Handle general back-office administrative tasks - Support communication through email, phone calls, messaging apps/CRM systems (Slack, Salesforce, WhatsApp, Skype), and video conferencing tools (Zoom, Google Meet) Qualifications - Experience in Behavioral Health / Mental Health - Strong knowledge of CPT and ICD-10 coding - Proficiency in AdvancedMD - Experience using Availity - Strong attention to detail and accuracy - Ability to meet tight deadlines and work independently - Excellent communication and organizational skills Requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] - Must be available for video meetings with your camera on (when needed) Technical Requirements - Device: Reliable laptop or desktop computer - Internet: High-speed connection (minimum 10 Mbps) - Audio: Noise-canceling headset - Video: Webcam for virtual meetings - Workspace: Quiet, professional environment Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance
Healthcare Advocate, Medical Coding
Medbill AIAI assistant that saves consumers time and money on healthcare and medical bills.
• Own high-impact medical billing and insurance cases end-to-end • Assess whether procedure, diagnosis, and modifier codes on an EOB are consistent with service described • Identify coding conflicts and escalate or dispute them with the appropriate party • Advocate for users by pushing cases forward with persistence • Communicate clearly with users, setting expectations and sharing progress
Medical Billing Assistant
SuperStaffComprehensive BPO, RPO, and Call Center Outsourcing Solutions for Growing Businesses
• Complete detailed medical insurance verifications of benefits (VOBs) • Submit and follow up on medical preauthorization • Track and follow up on outstanding medical claims • Communicate with insurance companies regarding claim status and documentation requirements • Review insurance policies and benefit limitations • Maintain accurate documentation and spreadsheets • Work closely with dental offices and billing specialists • Assist with appeals and requests for additional documentation



