InnovaCare Health is a dynamic physician lead healthcare provider pioneering change in value-based healthcare. We operate 40+ clinics with 1,100+ employees who share the mission, vision, and values that drive success in each of the communities we touch. Our goal isn’t just healthcare; it’s about promoting work-life balance and supporting the personal and professional goals of each employee to help them lead their best lives.
We are an organization strengthened by our diversity and inclusion. We strive to make an impact in the community through public health education, outreach, and our philanthropic endeavors that span beyond the doors of our facilities.
As we continue to grow, we want employees, like you, who value improving the lives of those they care for each day. #WeAreInnovaCare
Our practices offer: Women’s Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp services
Job Summary
Medical coders are critical to health informatics. They are responsible for reviewing patient records and assigning standardized codes for accurate records and insurance reimbursement. Medical coders are commonly responsible for recognizing the provider’s diagnosis and knowing the associated code; understanding the details of the services provided; and having familiarity with insurance company rules and regulations.
Day-to-day responsibilities will consist of reviewing and accurately coding office procedures for reimbursement and timely claim submissions; being thoroughly familiar with insurance companies, Medicare, and Medicaid; and showing compassion and being naturally helpful with patients, clients, and the team.
Essential Job Functions
Balance and audit encounters (ex. with check-in and end-of-day reports) to confirm proper submission of services prior to billing on pre-determined charges.
Receive and review patient charts and accurately record.
Ensure all codes are current and active.
Perform accurate charge entries.
Report missing or incomplete documentation - Work with providers to fix documentation errors.
Meet daily charge posting production.
Post patient phone payments.
Run insurance credit card payments.
Create superbills for procedures done in-house and for example, nursing home charges.
Work with patients (and/or legal guardians) to establish payment plans.
At the request, discuss with patients their questions about payments, balances, or statements.
Run daily reports to identify, preliminary superbills and queue superbill status to “Ready to Submit” for submitting claims.
Provide management with feedback and status.
Attend weekly call meetings to address billing issues.
Attend training or professional development as requested.
Notify billing, finance, or management of any standard process deviations.
Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
Serve as a resource regarding insurance resolutions and coding questions.
Perform other duties as assigned.
Minimum Required Education, Experience & Skills
High school degree or equivalent medical coding certification. Certified Professional Coding Certificate is required.
At least 2 (two) years of medical coding experience preferred.
Understanding and current knowledge of medical codes, terminology, anatomy, and physiology.
Ability to work independently and/or as an active member of a team.
Strong computer skills in Microsoft Office, data entry, coding, and electronic medical records software.
Possess accurate and precise attention to detail.
Ability to multitask, prioritize, and manage time efficiently.
Excellent verbal and written communication skills.
Self-motivated, goal-oriented, and team player.
Bilingual (English/Spanish) preferred.
ENVIRONMENTAL AND WORKING CONDITIONS
In this position, the employee will work in an office setting that requires sitting, walking, talking, and listening. May travel at the request of management for professional development, company events, or meetings.
Physical & Mental Requirements: (check all that apply)
Required immunizations and vaccinations.Ability to lift to 50 pounds.
Ability to push or pull heavy objects using up to 100 pounds of force.
Ability to stand or sit for extended periods of time.
Ability to use fine motor skills to operate equipment and/or machinery.
Ability to properly drive and operate a vehicle.
Ability to receive and comprehend instructions verbally and/or in writing.
Ability to use logical reasoning for simple and complex problem solving.
Occasionally requires exposure to communicable diseases or bodily fluids.
Occasional travel for clinic activities may be required (ex. InnovaCare meetings or training).
The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.