The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient’s medical records after a visit and translating them into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information, and submitting claims to insurers for reimbursement.

This role is fully onsite at the Austin HQ (5929 Balcones Drive, Austin, TX 78731).

Schedule: Monday-Thursday 8a-5p Friday 8a-12p 40 hour work week

Duties include:

Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
Assign appropriate ICD-10 and other relevant codes to medical procedures based on correct coding edits.
Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
Provide manual charge entry as needed.
Upload claims to practice management system and/or clearinghouse.
Maintain confidentiality of patient information and adhere to HIPAA regulations.
Collaborate with healthcare providers and staff to ensure accurate documentation and coding guidelines have been met.
Discuss coding guidelines with providers and provide training as needed.
Report emerging trends to management that need to be escalated.
Follow policies and procedures to contribute to business efficiency.
Cover for and assist with other functions in the department as assigned.

Knowledge and skills required:

Strong analytical and problem-solving skills with attention to detail.
Excellent mathematical skills, proficiency with computers and Microsoft applications including Excel.
Excellent written, verbal, and interpersonal communication skills.
Initiative and self-starting ability.
Ability to prioritize tasks and delegate when appropriate.
Excellent time management skills and ability to meet deadlines.
Ability to establish and maintain effective working relationships with insurance carriers, patients, and employees.
Professionalism and ability to work in a high-pressure environment with multiple departments.
Minimum typing speed of 40 words per minute.

Education and experience requirements:

High School Diploma or higher.
Certified Professional Coders License.
Minimum of 1+ year in Medical Billing and Coding (2+ years preferred).
Knowledge of ICD-10 and HCPCS Codes.
Commitment to continual education of codes and payer guidelines.

Benefits include:

Medical, dental and vision insurance.
Generous paid time off and paid holidays.
401(k) with generous employer match.
Free allergy testing and discounted treatments.
Gym membership discounts.
Life insurance.
Employee reward program.

... AND MORE

Medical Coding Specialist