Certified Medical Coding—Billing—Collections Specialist; Oregon Residents be

NOTE:

Oregon Residents may be considered for Remote position.

The Certified Medical Coder is a member of the Billing Team and is responsible for ensuring the accuracy and completeness of clinical coding. Overall responsibility is to maximize revenues and cash flow to the organization.

• Reviews patient records for procedural and diagnostic coding.
• Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
• Contacts providers for clarification of documentation in a professional manner.
• Works as a team member and communicates effectively with patients, staff and managers.
• Maintains quality and productivity standards.
• Works with team to achieve goals and productivity standards and decrease accounts receivable.
• Participates in performance improvement activities as needed including provider reviews related to coding.
• Remains current on coding guidelines and reimbursement reporting requirements.
• Designs and uses audit tools to monitor the accuracy of clinical coding.
• Reviews providers coding and prepares educational communication, supporting documentation, etc. for providers.
• Ensures coded services, provider charges and medical record documentation meet appropriate guidelines and standards.
• Monitors compliance with policies and procedures relevant to clinical data management and makes suggestions for improvements.
• Submits claims, electronically and manually as needed
• Assists with other billing department duties as needed.
• Researches claim denials and follows up appropriately.
• Maintains strict patient confidentiality.
• Participates in staff meetings, trainings, and quality assurance activities as directed.
• Performs other duties as assigned.

• Current Medical Coding certificate.
• Comprehensive current knowledge of ICD, HCPS and CPT coding.
• High School graduate.
• Experience working on computers; typing/keyboarding speed of at least 40 WPM and 10 key knowledge.
• Ability to manage multiple tasks.
• Knowledge of health insurance plans.
• Ability to work independently and to use good judgment.
• Knowledge of Microsoft Office software products.
• Knowledge of standard office machines including copier, fax, shredder, multi-line telephone, printers, etc.
• Ability to establish and maintain effective and harmonious working relationships with staff, patients, vendors, and the public
• Excellent oral and written communication skills
• Enthusiasm for working as a member of a team in a rapidly changing environment
• Excellent organization skills
• Current Oregon Driver’s License and proof of automobile insurance

• Auditing, Compliance and Billing or Practice Management Certification(s): CCS-P through AHIMA or CPC through AAPC.
• Two years’ experience in an office environment including at least six months in a medical office.
• One year experience in billing and collections experience in a medical office setting.
• One year experience working with customer billing accounts.
• Knowledge of Federally Qualified Health Centers
• Experience may be substituted for full educational requirements

Employee must be able to sit or stand for long periods of time. Employee must be able to focus on tasks while in an active office environment where conversation and noise is prevalent. Employee must be able to operate a keyboard, write, speak, and hear. Employee must be able to read small print both on paper and on a computer screen for long periods of time.

Ability to occasionally lift up to 20 pounds.

• Submit to and pass a drug test
• Successfully complete a criminal background check
• Must be able to work beyond normal working hours, including weekends.

There may be exposure to airborne and blood-borne pathogens, and hazardous materials. This position may include working remotely.