CERTIFIED MEDICAL CODER / BILLER
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Salience is a multi-specialty clinic with a collaborative approach to our patient’s healthcare needs to include Primary Care, Neurology, Psychiatry and Therapy. We have multiple locations in Plano/McKinney area. We are a fast-paced environment that remains focused on best outcome for our patients. With the ongoing growth of Salience there is potential for advancement and growth opportunities.
We are seeking a tenured medical coder with thorough knowledge of anatomy and medical terminology you’d expect, as well as a natural curiosity and an analytical mind. As you interpret, and code patients’ medical records, transcriptions, test results, and other documentation, we will rely on you to ask questions, connect the dots, and uncover information that may be difficult to find—all with the ultimate goal of ensuring a smooth billing process. You will abide by the standard protocols for medical coding but will use your own methods to gain the most accurate information to promote organizational growth.
Objectives of this Role:
Manage the program for high-quality, timely coding of diagnoses and procedures in a multi-specialty clinic, using ICD-10, CPT-4, and HCPCS coding classification systems, to meet billing system requirements
Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
Execute company policies and procedures that affect immediate operations and may also have organization-wide impact
Analyze issues where understanding situations or data, requires in-depth knowledge of organizational objectives
Implement strategic policies, while selecting methods and evaluation criteria for obtaining accurate results
Medical Coder Job Responsibilities:
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Researches and analyzes data needs for reimbursement.
Analyzes medical records and identifies documentation deficiencies.
Serves as resource and subject matter expert to other coding staff.
Reviews and verifies documentation supports diagnoses, procedures and treatment results.
Identifies diagnostic and procedural information.
Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
Follows coding conventions. Serves as coding consultant to care providers.
Identifies discrepancies, potential quality of care, and billing issues.
Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors per approval of Director.
Identifies reportable elements, complications, and other procedures.
Serves as resource and subject matter expert to other coding staff.
Assists Department Manager in orienting, training, and mentoring staff.
Provides ongoing training to staff as needed.
Handles special projects as requested.
Our Benefits include:
PTO (Vacation time)
Medical/Dental/Vision
Short term/Long term disability/Life insurance
HSA/FSA/Dependent Care Accounts
401(k)
Salience is an Equal Opportunity Employer, and we prohibit discrimination on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. These protections extend to all management practices and decisions, including recruitment and hiring, appraisal systems, promotions, training, and career development programs. Consistent with these obligations, EEOC also provides reasonable accommodations to employees and applicants with disabilities and for sincerely held religious beliefs, observances. and practices.
. Requirements:
- High School or GED
Coding and Billing Certification
5 years of experience in Coding
Knowledge in ICD-10, CPT-4 and HCPCS coding classification
Customer Service Skills preferred
Detail oriented