Certified Medical Coder Job at HealthyU Clinics, Mesa, AZ

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  • HealthyU Clinics
  • Mesa, AZ

Job Description

The Certified Medical Coder will be responsible for ensuring accurate and compliant coding of diagnoses, procedures, and medical services provided at HealthyU Clinics. This role requires a thorough understanding of ICD-10, CPT, and HCPCS coding systems, along with a commitment to maintain confidentiality, accuracy, and efficiency in coding processes. The CPC will collaborate closely with providers, billing teams, and management to optimize reimbursement and reduce claim denials.

Key Responsibilities:
  • Medical Coding and Billing: Review and assign appropriate codes to diagnoses, procedures, and services provided at HealthyU Clinics to ensure accurate and timely billing.
  • Compliance: Ensure all coding practices comply with federal and state regulations, including HIPAA, as well as insurance company guidelines.
  • Audits and Quality Assurance: Conduct internal coding audits to verify coding accuracy, identify trends in coding discrepancies, and report findings to the Billing Manager.
  • Collaboration with Providers: Work with physicians, nurse practitioners, and other providers to clarify diagnosis and procedures for accurate coding.
  • Documentation Review: Regularly review clinical documentation to ensure it meets the necessary requirements for coding and billing and provide feedback or training to improve documentation quality when needed.
  • Denial Management: Investigate coding-related claim denials, initiate corrections, and resubmit claims as required to maximize revenue capture.
  • Continuous Education: Stay current on coding changes, healthcare regulations, and insurance policies, and participate in ongoing training as required by HealthyU and CPC certification standards.
Requirements

Certification: Must hold a current Certified Professional Coder (CPC) certification
  • Education: High school diploma or equivalent required; associate degree in health information management or related field preferred.
  • Experience: Minimum of 2 years of coding experience in a healthcare setting, preferably in primary care or specialty clinics.
  • Technical Skills: Proficiency in electronic health record (EHR) systems and coding software (experience with [specific EHR if applicable] is a plus).
  • Knowledge Base: Strong understanding of medical terminology, anatomy, physiology, and coding principles, including ICD-10, CPT, and HCPCS.
  • Communication Skills: Excellent written and verbal communication skills, with the ability to collaborate with healthcare providers and team members.
  • Attention to Detail: High degree of accuracy and attention to detail in all aspects of coding and billing processes.
  • Problem-Solving: Ability to analyze, research, and resolve coding and billing discrepancies effectively.
Working Conditions:
  • This position may involve both on-site and remote work, depending on departmental needs.
  • Standard office environment with occasional extended hours as needed.
Salary Description


$24-26 per hour HealthyU Clinics

Job Tags

Hourly pay, Remote job,

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