Primary Health Solutions is committed to partnering with people on their journey towards wellness and providing comprehensive and exceptional care. We are seeking a Certified Coder to join our team.
You will be responsible for entering, auditing, and coding patient services to ensure proper claim submission to insurance payers. Key duties include reviewing provider documentation and hospital procedures to assign correct codes, appending payer-specific modifiers, auditing encounters in EHR systems, and understanding coding systems such as ICD-10-CM, ICD-10-PCS, CPT, and HCPCS levels 1 and 2. You will also monitor coding edits, rejections, and denials, communicate with providers, patients, and payers, and complete coding projects like provider chart audits. Maintaining patient confidentiality and investigating insurance fraud are essential to this role.
The role does not have supervisory responsibilities but requires strong customer service, communication, dependability, attention to quality, and productivity skills.
- Knowledge and experience with Medical Terminology.
- Proficiency with Microsoft Office 360 (Outlook, Word, Excel), Adobe, and medical billing software.
- Understanding of medical coding classifications: ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
- Communication skills to interact with patients and healthcare companies.
- Basic accounting and bookkeeping knowledge.
- Certified Professional Coder (CPC) certificate with some medical billing experience.
- Ability to multitask, organize, and work in a team.
- Ability to read and interpret safety rules, instructions, and procedure manuals.
- Reasoning ability to solve practical problems.
- Computer literacy including practice management systems and electronic medical records.
- Spanish language skills are helpful but not required.
Location
Rhode Island, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago