Certified or Uncertified Medical Coder Job at Lake Superior Community Health Center, Duluth, MN

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  • Lake Superior Community Health Center
  • Duluth, MN

Job Description

Lake Superior Community Health Center is seeking a Certified or Uncertified Medical Coder.

This position will assist with the coding, analyzing, and abstracting of all medical encounters. Coding is performed in a timely manner utilizing ICD, CPT and HCPC coding guidelines and in accordance with known laws and regulations associated with medical coding. Assist with outside clinics/hospitals/patients with billing questions. Assist with monthly insurance verification. Prepare and send medical insurance claims. Assist Medical Biller with rejections and other claim issues. Backup the medical biller.

 

Primary Responsibilities:

  • Review medical encounters coded by providers for accuracy and completeness prior to approving the encounter for billing.
  • Interact directly with office personnel and/or providers for clarification of documentation needed for coding and billing. Develop methodology to track coding discrepancies for feedback.
  • Interact with office personnel and/or providers to ensure all encounters and supporting documentation are collected and processed by billing department within established time frames.
  • Create and submit electronic and paper insurance claims using computerized practice management system, ensuring that claims are submitted accurately and within timely filing requirements specific to each insurer.
  • Review rejected claims and resubmit with corrections as needed.
  • Assist the medical support staff in obtaining insurance pre-authorization when required in advance of performing the procedure.
  • Assure that established policies, procedures, objectives, HIPAA, Compliance Plan and state and federal rules and laws are understood and followed.
  • Attend Compliance Committee, QI, and Staff Meetings.
  • Assist outside clinics/hospitals with billing questions, etc.
  • Acquire and maintain BH and AODA Prior Authorizations.
  • Assist with 304B Insurance and Vaccine Audits (insurance and billing part).
  • Assist with patient billing inquiries, payments and payment plans as needed.
  • Run reports as needed to complete daily, weekly and EOM billing/coding tasks.
  • Processing Sliding Fee Applications as needed.
  • Train appropriate personal on billing system.
  • Assisting Manager/Supervisor with special projects as requested.
  • Regular, punctual attendance is an essential function of the job.
  • Perform other related duties as assigned, requested, or required.

 

Qualifications:

  • Possession of a high school diploma or GED certificate.
  • Medical terminology, coding, insurance AA degree or coding certification. Ex: AAPC’s CPC.
  • Minimum of verifiable two years coding experience in a primary care clinic.

 

Knowledge, Skills and Abilities:

  • Human anatomy and physiology and its interaction with medical terminology.
  • ICD, CPT and HCPC coding principals necessary to code for family practice.
  • Understanding of HIPAA rules and regulations and the necessity to maintain confidentiality.
  • Skills to use independent judgment while assisting in the coding process and awareness to interact in a proactive and positive way with providers.
  • Skills necessary to use the phone and provide excellent customer service while communicating with others.
  • Skills in using ten key and computer.
  • Ability to handle multiple concurrent tasks and maintain orderliness and priority to those being resolved.
  • Ability to train others in essential duties and responsibilities.
  • Understanding the billing cycle from entry through payment.

 

Education/licensure/registration:

  • Medical coding certification

LSCHC offers excellent wages and a comprehensive benefit plan. LSCHC is an equal opportunity employer.
Fill out an LSCHC applicationand submit, along with resume to: lschhumanresources@lschc.org; or mail to: LSCHC, 4325 Grand Ave, Duluth, MN 55807.

Follow us on --->  Facebook:  https://www.facebook.com/LSCommunityHealthCenter|  Instagram: https://www.instagram.com/lscommunityhealthcenter/ |  Our website is https://lschc.org/.

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