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Access Community Health Network

HIM Coder

Access Community Health Network, Chicago, Illinois, United States, 60290

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Access Community Health Network provided pay range This range is provided by Access Community Health Network. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range $20.29/hr - $23.89/hr

We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.

Position Summary The HIM Coder is responsible for reviewing provider documentation and assigned procedure and diagnosis codes, modifying them as necessary. This role focuses primarily on office-based Evaluation and Management (E&M) services. The coder also identifies patterns of documentation or coding errors and reports them to the HIM Manager to support the development of corrective action plans.

Core Job Responsibilities

Complete coding assignments in accordance with FQHC coding and reimbursement guidelines, maintaining minimal error rates

Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers, ensuring accuracy and compliance with payer policies and regulatory requirements

Apply FQHC-specific coding guidelines for Medicaid, Medicare, and commercial plans

Work within assigned charge review, claim edit, and follow-up work queues; respond to system edits and assign codes/modifiers per established guidelines

Interpret basic payer guidelines for coding and claim submission; collaborate with the HIM Manager for clarification when needed

Accurately code charges to ensure clean claim submission to all payers

Resolve most coding-related issues with patients and payers

Demonstrate familiarity with NCDs, LCDs, and NCCI edits

Communicate with providers regarding documentation and coding issues under the direction of the HIM Manager

Perform other duties as assigned

Requirements / Preferences

High School or GED required. Associate degree preferred

One of the following certifications: Certified Pro Fee Coder (CPC) with the American Academy of Professional Coders (AAPC) or Certified Coding Specialist- Physician (CCS-P) with the American Health Information Management Association (AHIMA)

Six months of medical coding experience, will consider coding practicum experience and

Demonstrated knowledge of CPT (Current Procedural Terminology), ICD (Internal Classification of Diseases) and HCPCS II basic coding concepts as applicable

Minimum six months of working within an electronic health record system preferred

Basic proficiency with Microsoft Office applications

ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.

The pay ranges provided represent the minimum to mid-range for positions. Actual compensation will be determined based on a combination of factors including years of experience, educational background, market conditions, and available grant funding.

Seniority level Associate

Employment type Full-time

Job function Health Care Provider

Industries Hospitals and Health Care, Hospitals, and Medical Practices

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