Medical Coding Specialist - Non-Certified (On-Site)

Sunrise Community Health Summary

 Founded in 1973, Sunrise Community Health is dedicated to delivering high quality, affordable healthcare to Weld, Larimer, and surrounding counties in northern Colorado.  With exceptional providers and convenient locations, we support each patient’s journey to wellness and are committed to our community’s health and well-being. 

Non-Certified Medical Coding Specialist:

 The Non-Certified Medical Coding Specialist is responsible for correctly coding healthcare claims to obtain reimbursement from insurance companies and government health care programs, such as Medicare.     

Position Summary:

 With a Quality, Customer First, and Compassionate approach, The Non-Certified Medical Coding Specialist will:

• Analyzes patient charts carefully to know the diagnosis and represent every item with specific codes.
• Assigns codes for diagnosis, treatments, and procedures according to the appropriate classification system.  
• Reviews claims data to ensure assigned codes meet required legal and insurance rules and that required authorizations are in place prior to submission.  
• Evaluates and re-files appeals for patient claims that were denied.  
• Ensures correct patient allocation is set.  
• Voids any duplicate charges or charges entered in error.  
• Identifies and reports error patterns.  
• Notifies coding supervisors of missing orders or needed documentation clarification.   
• Ensures timely and efficient billing of all electronic claims’ submission.  
• Accurately enters payment and adjustments in the A/R system.  
• Collects health information as documented by medical providers and codes them appropriately.  
• Consults medical providers for further clarification and understanding of items on patient charts to avoid any misinterpretations.  
• Provides accurate account information to patients about their A/R accounts and makes any necessary corrections.  
• Complies with HIPAA, federal regulations, and Sunrise Community Health policies.  

Minimum Qualifications:

• High school diploma or equivalent required.
• Associate’s degree or certificate in Medical Coding preferred; Certified Professional Coder (CPC) credential is a plus.
• Coding certification through AHIMA or AAPC and/or a minimum of two years of medical coding experience, training, or an equivalent combination of education and experience.
   
   

Perks and Benefits:

At Sunrise, we pride ourselves in over 50 years of exceptional support to our community and employees. Sunrise is dedicated to guiding every employee towards professional growth and development by supporting them through training and tuition reimbursement. We value a healthy work life balance by providing generous paid time off.  Employee opinions are valued, and we listen to employees through employee engagement surveys and the sharing of diverse ideas!  

Sunrise Community Health offers a generous range of benefits.

Generous PTO and Leave Times:

• Up to 8-weeks of Paid Time Off (to include Vacation, Personal, 12 observed Holiday, and Sick Leave)

Health, Medical, and Wellness Benefits:

• Medical Insurance
• Dental & Vision Insurance
• Basic Life & AD&D Insurance 
• Voluntary Life Insurance 
• Long-Term Disability (LTD)
• FSA Medical Flexible Spending Account
• FSA Dependent Care Spending Account
• Employee Assistance Program

Financial Benefits:

• Competitive 401K Plan
• Loan Forgiveness Programs*
• Referral Bonus

Professional Development:

• Tuition and Training Reimbursement
• Agency Wide Training
• Master Class Subscription  

Get Involved:

• Employee Recognition Programs 

* Providers can apply for the State or Federal loan repayment program.

Current immunizations are required to work at Sunrise Community Health and may vary dependent upon the position. Influenza (Flu) Vaccines are required for ALL staff. COVID vaccine is highly encouraged.                

Sunrise Community Health is an Equal Opportunity Employer.  We value a diverse, inclusive workforce that enriches our culture and our mission to provide affordable access to quality healthcare for all. Qualified applicants for employment will be considered without regard to an individual’s race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws.  Accommodations are available for applicants with disabilities.