Coder I

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care.

JOB RESPONSIBILITIES:

1. Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into computer system for billing and data collection within the established time frame.
2. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service.
3. Identify physician services provided, but not adequately documented in the medical record. Advise coding auditor/educator or Manager of deficiencies.
4. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices.
5. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances.
6. Perform follow-up claim duties as required and assigned.
7. Comply with the Sixteenth Street TB Control Plan including PPD testing.
8. Perform other duties as assigned.

1. Maintain insurance, authorization and incident-to knowledge for physician visits and procedures.
2. Maintain currency in field through continuing education, literature, and seminars. Implement this knowledge into Coding/Billing compliance.
3. Keep abreast of coding guidelines and reimbursement requirements. Bring identified concerns to supervisor or department manager for resolution.
4. Ability to work with and maintain confidentiality and integrity of patient data.
5. Understanding and knowledge of how follow-up staff members perform their duties and understanding and knowledge of claims processing.
6. Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association or American Academy of Professional Coders and adheres to official coding guidelines.

1. High school diploma or GED.
2. Minimum of 1 to 2 years experience coding utilizing the ICD-10, CPT, HCPCS and modifier coding systems.
3. Knowledge of electronic medical records systems.
4. Demonstrate independent initiative, ability to budget time and organizational skills.
5. Demonstrate attention to detail and ability to prioritize and meet deadlines.
6. Actively always demonstrate teamwork.
7. Excellent oral and written communication skills.
8. Knowledge and/or experience in a health care setting a plus.
9. Knowledge of third-party payer reimbursement policies and procedures a plus.
10. Computer skills including but not limited to Microsoft Excel and Microsoft Word.