Behavioral Health Coder

JOB SUMMARY

The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with Best Care policies and practices, and ICD-10-CM and Medicare guidelines.

• Serves as a coding subject‑matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing,
• Is available as a resource for all Best Care sites on coding requirements and best practices;
• Maintains coding credentials as required by credentialing agency;
• Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting;
• Completes special projects as assigned;
• Other related duties as assigned.

• Performs work in alignment with Best Care’s mission, vision, values;
• Supports the organization’s commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals;
• Strives to meet annual Program/Department goals and supports the organization’s strategic goals;
• Adheres to the organization’s Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards;
• Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
• Attends and participates in required program/staff meetings (remotely with some in‑person), and completes assigned training timely and satisfactorily;
• Ensures that any required certifications and/or licenses are kept current and renewed timely;
• Works independently as well as participates as a positive, collaborative team member;
• Performs other organizational duties as needed.

• Proficient in ICD‑10 CM codes on patient medical records for medical coding purposes;
• Proficient with CMS billing rules and associated coding and billing requirements;
• Understanding of and proficiency in using Epic Software Systems;
• High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
• Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.),
• Strong interpersonal and customer service skills;
• Strong communication skills (oral and written);
• Strong organizational skills, scheduling, and attention to detail, accuracy, and follow‑through;
• Excellent time management skills with a proven ability to meet deadlines;
• Critical thinking skills;
• Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
• Ability to build and maintain positive relationships;
• Ability to function well and use good judgment in a high‑paced and at times stressful environment;
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
• Ability to work effectively and respectfully in a diverse, multi‑cultural environment;
• Ability to work independently as well as participate as a positive, collaborative team member.

EDUCATION AND/OR

EXPERIENCE:

• Associate’s degree in related field or combined equivalent in related education and experience
• Minimum 6 years of experience with Epic software systems
• Minimum 6 years of experience with revenue cycle billing
• Minimum 8 years of coding experience preferably Behavioral Health

• CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start
• Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)
• Must be currently certified through AAPC or AHIMA

• Bilingual in English/Spanish a plus
• COC Coding certification