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Coding Specialist

Housecall Providers, Billings Metropolitan Area, Montana, United States

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Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure

Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

Work Location: Work from home

Estimated Hiring Range $28.23 - $34.50

Bonus Target Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities

Responsible for converting healthcare services from medical charts by reviewing and entering medical codes.

Conduct clinical staff guidance in documentation, coding, and billing to support organizational revenue and operational goals. Provide individual and group education on an ongoing basis.

Provide coding and billing technical assistance to providers, as needed.

Collaborate with third party firms for development of coding practices.

Monitor and maintain regular periodic chart audits; provide follow-up chart education as needed.

Participate in workgroups and teams to plan and implement new coding and billing initiatives; design and deliver training to clinical groups to support adoption of new services and procedures as needed.

Provide ongoing chart documentation, coding and billing education to various CareOregon departments and other stakeholders.

Participate in rate setting initiatives and updates to provider fee schedules.

Collaborate with Contracting and other stakeholders to verify adequate and proper payment and coding terms in statements of work and contracts.

Verify on proper ICD, CPT, and/or HCPC code usage.

Collaborate with manager to implement operational and organizational initiatives to enhance billing, coding and documentation guidance.

Coordinate and cross train billing functions and responsibilities.

Required Experience and/or Education

Minimum 2 years’ experience in evaluation and management services chart auditing within healthcare or behavioral health

Experience with EHR systems and coding and billing systems

AAPC or AHIMA certification

Preferred

Experience leading group educational presentations and teaching to medical professionals

Knowledge, Skills and Abilities Required Knowledge

Extensive knowledge of diagnosis and procedure coding conventions as defined by CMS and AMA

Thorough working knowledge of medical and behavioral health billing practices

Skills and Abilities

Ability to read and comprehend medical terminology and medical chart notes

Proficiency working with electronic health record systems

Strong computer skills, including ability to learn new systems and processes

Strong working knowledge of Microsoft office products (PowerPoint, Excel, Word)

Strong written and verbal communication skills

Ability to effectively teach and coach adult learners

Ability to organize information in a meaningful way

Strong attention to detail and problem-solving skills

Ability to work autonomously and with others, including a high degree of initiative

Ability to prioritize tasks, problem solve, stay focused and be organized

Ability to work well under pressure to meet deadlines

Ability to use good judgment and discretion to perform job responsibilities

Ability to adhere to organizational standards, policies and procedures

Ability to work effectively with diverse individuals and groups

Ability to learn, focus, understand, and evaluate information and determine appropriate actions

Ability to accept direction and feedback, as well as tolerate and manage stress

Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

Benefits We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

Equal Opportunity Employer Statement Housecall Providers is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

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