Revenue Cycle Medical Coder

Job Summary:

The Revenue Cycle Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) Department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education. This position reports to the Director, Revenue Cycle.

Duties Include:

• Ensuring that procedural and diagnosis codes are assigned correctly and sequenced appropriately per government and insurance regulations
• Reviewing claims and configuration to ensure compliance with coding guidelines and best practices
• Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of billable services
• Training and support to claims team members and practitioners related to appropriate billing procedures and coding requirements
• Recommending and implementing strategic protocols for coding review and code modifications
• Completing overarching coding practice evaluations
• Collaborating with cross functional teams such as Compliance and Contracting
• Stay up to date on coding requirements and best practices, including attending external trainings and meetings to proactively develop and implement forward thinking best practices

Qualifications:

• High School diploma or equivalent. Bachelor’s degree preferred.
• Certification in medical coding and billing (CPC, CPC-A, RHIT, or CCS preferred)
• 5 years’ experience in a coding and billing position
• Demonstrated knowledge of NextGen or similar HER
• Intermediate knowledge of Microsoft suite, especially excel
• Experience interacting with cross functional partners, and external payers and stakeholders
• Strong communication skills – written and verbal. Excellent collaboration and partnership skills
• This role is a non-driving position. This position is performed at one location and does not require travel to various Terros Health centers. May be 18 years of age and with less than two years’ driving experience or no driving experience.
• Must have a valid Level 1 Arizona Fingerprint Clearance card or apply for one within 7 working days of assuming role.
• Must pass background check, TB test and other pre-employment screening

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Pay: $25.78 - $26.94 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Professional development assistance
• Vision insurance

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 5 years (Required)
• Medical coding: 5 years (Required)
• EMR systems: 5 years (Preferred)

License/Certification:

• Level One Fingerprint Clearance Card (Preferred)
• Certified Coding Specialist (Preferred)
• RHIT (Preferred)
• Certified Professional Coder (Preferred)

Ability to Commute:

• Phoenix, AZ 85012 (Required)

Work Location: In person

Salary : $26 - $27