Delta Health Center Inc
Certified Professional Coder
Delta Health Center Inc, Cleveland, Mississippi, United States, 38733
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Delta Health Center Inc Job Description
Certified Professional Coder
Delta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team.
This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care.
Position Responsibilities
Analyze medical record documentation to ensure accurate assignment of ICD10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards. Consult with clinical providers for coding and documentation clarification as needed. Conduct prospective and retrospective reviews of clinical documentation and coding. Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan. Collaborate with clinical operations and compliance staff to develop and implement corrective action plans for provider documentation issues. Develop and revise education and training materials related to documentation and coding. Respond to coding questions from providers and staff promptly and accurately. Monitor and track coding and coding compliance activities, maintaining detailed records. Collaborate with the clinical operations team to address special requests for coding reviews related to patient complaints, denials, rejections, or incorrect coding, and provide feedback to the relevant parties. Conduct ongoing reviews and tracking of insurance rejections and denials with coding discrepancies, contacting insurance companies as necessary to resolve issues.
Requirements
Required Skills & Qualifications:
Proficiency in medical coding, including ICD-10-CM, CPT, and HCPCS coding systems. Knowledge and experience in patient eligibility, payer class, insurance type and subscriber requirements for appropriate claim validation and billing submissions required Strong analytical skills and attention to detail. Excellent communication and interpersonal skills for interacting with providers, staff, and insurance representatives. Ability to manage multiple tasks and prioritize effectively. Experience with electronic medical records (EMR) systems preferred. Familiarity with insurance guidelines and compliance standards.
Education & Experience
Certification as an AAPC Certified Professional Coder (CPC or CPC-A) Required FQHC Coding and Billing Knowledge Preferred but not required High school diploma or GED required; Bachelor's Degree and/or advanced education or relevant coursework preferred. Minimum of 1 year of experience in medical coding
Additional Requirements
Must pass a standard background check.
Job Type: Full-time
Benefits
Benefits:
??
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off (vacation and sick leave) Vision insurance
Schedule
Monday (8:00 a.m.-6:00 p.m.) and Friday (8:00 a.m.-12:00 p.m.)
License/Certification
Certified Professional Coder License (Required)
Work Location: In person/On-site (Required)
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Government Administration Referrals increase your chances of interviewing at Delta Health Center Inc by 2x Get notified about new Medical Coder jobs in
Cleveland, MS . Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Certified Professional Coder
role at
Delta Health Center Inc Continue with Google Continue with Google 1 week ago Be among the first 25 applicants Join to apply for the
Certified Professional Coder
role at
Delta Health Center Inc Job Description
Certified Professional Coder
Delta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team.
This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care.
Position Responsibilities
Analyze medical record documentation to ensure accurate assignment of ICD10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards. Consult with clinical providers for coding and documentation clarification as needed. Conduct prospective and retrospective reviews of clinical documentation and coding. Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan. Collaborate with clinical operations and compliance staff to develop and implement corrective action plans for provider documentation issues. Develop and revise education and training materials related to documentation and coding. Respond to coding questions from providers and staff promptly and accurately. Monitor and track coding and coding compliance activities, maintaining detailed records. Collaborate with the clinical operations team to address special requests for coding reviews related to patient complaints, denials, rejections, or incorrect coding, and provide feedback to the relevant parties. Conduct ongoing reviews and tracking of insurance rejections and denials with coding discrepancies, contacting insurance companies as necessary to resolve issues.
Requirements
Required Skills & Qualifications:
Proficiency in medical coding, including ICD-10-CM, CPT, and HCPCS coding systems. Knowledge and experience in patient eligibility, payer class, insurance type and subscriber requirements for appropriate claim validation and billing submissions required Strong analytical skills and attention to detail. Excellent communication and interpersonal skills for interacting with providers, staff, and insurance representatives. Ability to manage multiple tasks and prioritize effectively. Experience with electronic medical records (EMR) systems preferred. Familiarity with insurance guidelines and compliance standards.
Education & Experience
Certification as an AAPC Certified Professional Coder (CPC or CPC-A) Required FQHC Coding and Billing Knowledge Preferred but not required High school diploma or GED required; Bachelor's Degree and/or advanced education or relevant coursework preferred. Minimum of 1 year of experience in medical coding
Additional Requirements
Must pass a standard background check.
Job Type: Full-time
Benefits
Benefits:
??
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off (vacation and sick leave) Vision insurance
Schedule
Monday (8:00 a.m.-6:00 p.m.) and Friday (8:00 a.m.-12:00 p.m.)
License/Certification
Certified Professional Coder License (Required)
Work Location: In person/On-site (Required)
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Government Administration Referrals increase your chances of interviewing at Delta Health Center Inc by 2x Get notified about new Medical Coder jobs in
Cleveland, MS . Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr