Central Health

Compliance Coding Specialist

Req No.
2017-2987
Company
CommUnityCare Health Centers
Kramer
2115 Kramer Lane, Suite 100
Austin
Category
Administrative
TX
Type
Regular Full-Time

Overview

This position is responsible for supporting the Senior Compliance Coding Auditor in conducting chart reviews and implementing annual CPT, HCPCS, and ICD code changes.

 

This position will be working 32 hours per week, Monday through Thursday 8:00am - 5:00pm.

Responsibilities

Essential Duties:

  • Conduct prospective and retrospective chart reviews (i.e., baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT, HCPCS, and ICD codes, with consideration of applicable FQHC and payer/title/grant coding requirements.
  • Identify coding discrepancies and formulate suggestions for improvement.
  • Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
  • Work closely with all departments, including, but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in chart reviews and verifying accuracy of reported services.
  • Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.
  • Support Compliance Department with coding questions.
  • Perform other duties as assigned.

Knowledge/Skills/Abilities:

  • Proficiency in correct application of CPT, HCPCS procedure and ICD-10-CM diagnosis codes used for coding and billing for medical claims.
  • Knowledge of medical terminology, disease processes and pharmacology.
  • Strong attention to detail and accuracy.
  • Excellent verbal, written and communication skills.
  • Ability to multi-task.
  • Proficient in Microsoft Office Suite.
  • Critical thinking/problem solving.

Qualifications

This position will be working 32 hours per week, Monday through Thursday 8:00am - 5:00pm.

 

MINIMUM EDUCATION:   High School Diploma. Certified Professional Coder (CPC®) through AAPC or Certified Coding Specialist (CCS®) through American Health Information Management Association (AHIMA).

 

PREFERRED EDUCATION: Undergraduate or associate’s degree.

 

MINIMUM EXPERIENCE:    Baseline knowledge of procedural and diagnostic coding.

 

PREFERRED EXPERIENCE:  Experience in a healthcare environment. Experience with an electronic medical record. Basic understanding of Centers for Medicare and Medicaid (CMS) regulations.

 

REQUIRED COURSES/COMPLETIONS (e.g., CPR):  Maintain continuing education credit to respective coding certification.

 

 

 

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