Certified Senior Coder

Compensation: $20.40 - $25.50 per hour (based on years of experience)

Summary

The Certified Senior Coder reviews provider service records to ensure accurate coding for all services to maximize reimbursement and meet coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues.

Principal Responsibilities

• Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.
• Codes services correctly; understands and appropriately uses all CPT, ICD-10 and modifiers. Understands and follows all bundling edits.
• Ensures that documentation supports charges billed, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10.
• Process and input billings accurately in the practice management system; CPT codes, modifiers, units, fees, ICD-10 codes, using tools available to confirm codes, units and fees will be correctly billed, e.g., checking batch with the charge report. Works claim holds in an accurate and timely supporting our business office policies.
• Provides feedback, research and answers coding questions from providers, insurance specialists, patient account representatives and denial tasks concerning reason for denial, patient issues and maximum reimbursement.
• Quickly locates Medicare billing rules and policies, fully comprehends how these relate, apply and follows coding when billing Medicare patients. Coding and billing per insurance listed, bills per standard processes, utilizes identified insurance guidelines and billing accordingly. Updating new guidelines as identified and adding to the H drive.
• Improve the quality of care through continuing education and self-evaluation of the effectiveness of care. This includes attendance/participation in most in-services/department meetings and remaining current on department policies and procedures.
• Participate in orientation and training of new employees.
  
  

Education/Licensure/Experience

• High school diploma or equivalent required.
• Certification of advanced coding course or demonstrated equal coding experience, required.
• Two (2) or more years of experience working with medical billing and medical terminology, required.
  
  

Knowledge And Skills

• Extensive knowledge of insurance line is required
• Intermediate to advanced computer skills including; MS Word and Excel
• Ability to communicate and work well with providers and other staff
• Ability to work on multiple tasks simultaneously in a busy, fast-paced environment while maintaining quality of work
  
  

Perks And Benefits

• Work-life balance is a top priority at The Corvallis Clinic
• 7 holidays + 2 floating holidays = 9 Paid Holidays! Early release on Christmas Eve and New Year's Eve
• Generous Personal Leave Accrual
• Benefits: Medical w/ HSA or HRA, Dental, Flexible Spending Acct (FSA)
• Employer contribution to HSA and HRA (when enrolled in Medical Plan)
• Employer paid Long Term Disability (LTD), Basic Life/AD&D, Employee Assistance Program (EAP)
• Voluntary Benefits (Vision, Life Insurance and AD&D, Pet Insurance, Aflac, Legal Shield)
• Retirement - 401k eligible and auto enrolled after 90 days, 100% vested from day 1, with discretionary clinic match after 1 year (w/hours requirement) and discretionary Profit Share after 2 years (w/hours requirement).
• Pay on Demand (up to 2x per month)
• Casual Fridays (with clinic approved attire)
• Year-round employee engagement events and festivities
• Team centered culture, delivering exceptional medical care with compassion and a commitment to service.