Health Services Medical Biller​/Coder

HEALTH SERVICES MEDICAL BILLER/CODER

Administration/Billing Program (Classification 757)

SEIU Represented Full-Time (37.5 hours/week) position

Position Reopened for Applications

Linn County requires on-site work. Remote work is not available.

We are seeking a detail-oriented and dependable Medical Biller/Coder to join Linn County Health Services. In this role, you will play an essential part in ensuring accurate medical coding, timely billing, and proper reimbursement while helping maintain compliance with healthcare regulations and insurance requirements. The ideal candidate will have strong attention to detail, excellent organizational and communication skills, and a solid understanding of medical terminology, coding systems, and billing procedures.

If you are passionate about supporting quality, accurate and efficient administrative processes, we would love to hear from you.

A person employed in this classification must possess the capability to perform the following duties to be considered for and remain in this position. The duties are essential functions requiring the critical skills and expertise needed to meet job objectives. Additional specific details of these essential functions may be provided by the specific office or department job announcement, if applicable.

• Strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines.
• Reviews and verifies documentation supporting diagnoses, procedures, treatment results, complications, potential quality of care and billing/procedural issues.
• Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes and identify discrepancies and reportable elements.
• Responsible for researching codes and abstracting medical information to determine that accurate, complete and billable codes are provided for Outpatient/Physician Clinical services for the specific program. Identifies and reports coding opportunities and recommendations for improvement. Monitors report trends and escalate discrepancies to management.
• Ensure compliance with coding standards across various medical coding encounters including Mental Health, Substance Disorders and various Public Health programs.
• Input all charges related to services provided by the Health Department into the billing system in accordance with established processes with a strong emphasis on accuracy to ensure efficiency in processing and receipt of payments.
• Post all payments, by line-item, received for providers services into billing system including co-payments, insurance payments, and client payments in accordance with established processes with an emphasis on accuracy to ensure maximum revenue collection.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on client satisfaction.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
• Follow-up on all outstanding client account balances at 60-120+ days from the date of service in accordance with practice protocol with an emphasis on maximizing client satisfaction and practice profitability using the A/R aged reports.
• Process refunds to insurance companies or client in accordance with practice protocol.
• Will be providing cross coverage with other team members.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to OSHA, HIPAA and Medicare and Medicaid Compliance.
• Assure compliance with Oregon Revised Statutes, Oregon Administrative Rules, related Federal regulations (42 CFR, etc.) and department policies.
• Able to use collaborative problem solving and communication skills in a team setting
• Develop and maintain effective, harmonious and reasonable work relationships with others.
• Maintain regular and predictable work attendance.

Knowledge of outpatient code sets including CPT, HCPCS, ICD-10-CM/PCS in physician outpatient coding and reimbursement regulations; knowledge of current healthcare-based technology and…