About the position The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing various medical specialties. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding questions from physicians, clinical team members and other departments. The successful candidate for this role must have exceptional computer, communication, and organizational skills. This position may require onsite training at our office in South Bend, IN, as well as attendance of department and organizational meetings.

Responsibilities

• Responsible for billing daily charges by designated site and matching insurance carriers to the specific billing requirements for Medicare, Medicaid, Blue Cross Blue Shield and Commercial carriers.
• Capable and knowledgeable on billing charges for chemotherapy and administration codes, E/M office and hospital charges in a timely manner.
• Accessing and reading operative and pathology reports from multiple hospital systems, coding the correct ICD-10, CPT, and modifiers, and billing the charges.
• Retrieves, reads, and applies updated LCD/NCD policies when necessary.
• Identifies and reports any fraud, waste, or abuse concerns.
• Reviews patients’ charts and applies appropriate medical codes.
• Works with the clients’ physician team to get any missing information or signatures to bill charges.
• Ensures timely filing of claims per SOP guides.
• Works together as a team with the whole department.
• Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence and quality.
• Maintains professional behavior, confidentiality, and discretion at all times, along with the ability to work with all levels of staff with a confident and professional demeanor.
• Follows HIPPA rules and regulations.

Requirements

• High school diploma or equivalent (GED).
• One or more of the following credentials is required: CPC (Certified Professional Coder); CHONC (Certified Hematology Oncology Coder, through AAPC); CCS (Certified Coding Specialist, through AHIMA); or CCS-P (Certified Coding Specialist – Physician based, through AHIMA).
• Demonstrates knowledge and competence in CPT, ICD-10, POS and modifiers.
• Accurately maintains and adheres to all safety rules and regulations.
• Accurately code/bill charges to the best of your ability without fraudulence.
• Knowledge of anatomy and medical terminology.
• Proficient in Microsoft Office preferred.
• Working knowledge/experience in electronic medical records and/ or other medical software if applicable.
• Excellent communication and organizational skills with the ability to work in a fast paced environment; prioritize tasks and workloads.
• Performs other duties as assigned.
• Must be able to operate standard office equipment and keyboards.

Benefits

• medical
• dental
• vision
• employer paid life insurance
• long and short-term disability policies
• above average paid time out plan
• comprehensive wellness program
• onsite biometrics
• ongoing mental and physical wellness support
• company sponsored financial wellness counselors
• employee assistance services
• company-matched, 401k plan