• Learn everything other medical billing/coding institutions teach, plus specifics related to the unique needs of federally qualified health centers (FQHCs) and look-alikes. • Upon successful program completion and a passed exam, become certified in medical billing and medical coding. • Provide efficient and effective coding services on behalf of our member clients in accordance with Payer requirements and organizational policies, while ensuring compliance to all coding guidelines. • Abstract clinical data (diagnoses and procedures) from patient medical records and on-line patient data. • Review and interpret patient encounters for accurate code assignment of all relevant diagnoses and procedures. • Help fulfill the reimbursement needs of the member through review and recommendation or correct assignment of diagnosis and procedure codes which are critical to third party reimbursement. • Research and obtain necessary information from provider/office via Epic in-basket when necessary, per agreement. • Assist with research for denied claims. • Meet assigned productivity goals. • Establish and maintain positive working relationships with patients, payers, team members, clients and other stakeholders. • Maintain confidentiality of patient information, organization data and information, and in compliance with HIPAA regulations.

• Reviewing documentation in same day surgery and observation medical records • Accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes • Abstracts demographic and coding information accurately and completely • Codes and abstracts medical records with a minimum of accuracy. • A mentor to new coders • Assists with cleaning up or escalating missing documentation or other work queues

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. • Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. • Perform documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. • Interact with client staff and providers. • Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management. • Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record. • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. • Complete assigned work functions utilizing appropriate resources. • Act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. • Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines. • Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. • Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing. • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

• Lead and operationalize end-to-end revenue cycle across a multi-state behavioral health organization • Directly manage a team of 3–4 billing specialists • Stabilize and strengthen billing operations to support care delivery • Implement infrastructure for billing lifecycle and compliance • Ensure timely claim submission and monitor denials