Medical Coder

Job Details

Working title:

Medical Coder
Classification title:
Medical Coder
Division:
Administration
Program:
Fiscal Services

Reports to:

Medical Billing Manager
FLSA status:
Non-Exempt:
Full-time

Schedule:

Monday-Friday; 8am to 5pm
Wage Range: $24.28 to $32.19 hourly; depending on number of years of transferrable experience and internal equity

River Stone Health
Since 1974, River Stone Health has had a rich history of providing health services to our community, from our role as the Yellowstone City-County Health Department to seeing patients in our medical and dental clinics as part of a nationwide system of Federally Qualified Health Centers. At River Stone Health we strive to build a personal connection with everyone we serve to provide optimal complete solutions, within our realm of expertise, to the variety of challenges faced by our patients, clients, and customers.

In our medical and dental clinics, we provide care for 20,000 patients each year, more than half of whom are uninsured and rely on our sliding fee scale. In our medical and dental clinics, we serve all patients, regardless of their ability to pay.

Job Summary
Performs a variety of tasks in the coding and billing. Claims review and submissions as well as technical accounts payable and receivable functions specializing in billing and collections for all River Stone Clinic Facilities.

Essential Functions/Major Duties And Responsibilities

• Accounting Tech-Medical/Dental Billing and Coding Specialist 90%
• Obtains billing information from medical and dental care providers.
• Analyzes and prepares Medicaid, Medicare, and insurance claims for billing. Verifies claim accuracy and completion.
• Adjusts invoices for patient discounts and amounts based on insurance provider and government program allowances. Prepare and distribute billing invoices at least monthly.
• Performs preliminary “audits” of patient electronic charts to ensure billing information is included and coded properly.
• Establishes and maintains patient financial files. Post charges and payments to patient accounts.
• Posts patient and insurance payments against accounts receivable balances into the electronic health record, eCW. Reconciles differences between actual and expected payments.
• Respond to questions pertaining to patient invoices, sliding fee discounts and payment plans; discusses payment options and sets up payment plans when
• Investigates anomalies, errors, and discrepancies in accounts.
• Develop monthly accounts receivable days tracking systems and closely monitor aging accounts. Include discounts applied and write-off percentages tracking.
• Enters miscellaneous payments made to River Stone Health into the deposit spreadsheet or other deposit-tracking system.
• Post pharmacy Medicaid payments in pharmacy software.
• Works in Hospital EMR to cross data over to River Stone Health EMR for provider billing of hospital services.
• Review and provide coding guidance to new providers.
• Processes payment denials and errors and takes appropriate follow-up measures.
• Provides guidance that assists new employees with work tasks to new employees in the same or similar class of positions.
• Be a subject matter expert for providers to utilize when coding and billing questions occur.
• Informs the immediate supervisor and designated others about work progress, present and potential work problems, and suggestions to address problems.
• Responds to citizens’ questions and comments with courtesy and in a timely manner.
• Communicates and coordinates regularly with others to maximize the effectiveness and efficiency of interagency operations and activities.
• Attends meetings, conferences, workshops, and training sessions and reviews publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas.
• Performs other functions as assigned by specific programs.

Non-Essential Functions/Other duties as assigned ≥10%

Perform other duties as assigned in support of River Stone Health’s mission and goals.

Education And Experience

Minimum Qualifications

• High school diploma or GED; plus
• Experience with or education of ICD-10 codes.

Required Certificates, Licenses, Registrations

• Certifica…