Medical Coder, CPC or CCS-P

Job Description:

• Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding).
• Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records.
• Ensures diagnosis codes meet local and national medical necessity guidelines.
• Be knowledgeable of billing and coding requirements for governmental and private insurance payers.
• Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services.
• Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting.
• Review and resolves coding edits and denials.
• Assists with rebilling accounts when necessary.
• Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
• Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
• Completes all assigned work in a timely manner based on internal and/or payer standards.
• Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate.
• Attending and reporting at weekly team calls with Director of Medical Coding Compliance.
• Reporting coding patterns identified within the coding process to management.
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials.
• Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
• May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
• Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance or Chief Compliance Officer. Requirements:
• Certified Professional Coder (CPC®) or CCS-P
• High School diploma, GED or equivalent.
• Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding.
• Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred.
• An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred.
• An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding.
• Computer literate adept skill level on MS Office applications.
• Experience in Mental Health or Addiction Medicine a plus. Benefits:
• Have a daily impact on many lives
• Excellent training if you are new to this field.
• Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
• Community events that promotes belonging and education .
• Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.
• Opportunity to save lives everyday!
• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesting period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health day
• Calm subscription for all employees Apply tot his job

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