Job description

MHC Healthcare is seeking a Certified Coder to join the Central Business Office team at the Marana Main Health Center, located in the heart of Marana, AZ. The Certified Coder works closely with providers, Central Billing Office and IT Department to ensure all patient visits are properly leveled, coded, billed and RAFed per CMS, CPT and Correct Coding Initiative guidelines. Communicates with and assists in coding education of providers and support staff. Performs professional coding and billing compliance reviews for assigned MHC site(s). Works with and educates providers regarding completion of required documentation in the Electronic Medical Record system according to the organization’s policies and procedures. MHC Healthcare is a Federally Qualified Community Health Center (FQHC), with 17 sites in Tucson and Pima County. Our mission is to improve our Community by providing exceptional, whole-person healthcare.

Work Location:

• This is a hybrid position, working both from home and within the office.

The following qualifications are required:

• Current CPC, CFPC, CCS and/or CCS-P certification; required.
• High school diploma or G.E.D; required.
• Experience in Microsoft Office programs; required.

The following qualifications are preferred:

• Minimum of three (3) years’ experience as certified coder; preferred.
• Minimum of three (3) years’ knowledge of federal and state rules and regulations (Medicare and AHCCCS) and other insurance rules as they pertain to coding and billing; preferred.
• Minimum of three (3) years’ experience abstracting professional patient services of moderate complexity and applying fundamental coding principles and knowledge of reimbursement within a practice management setting; preferred.
• Minimum of two (2) years’ experience with Electronic Medical Records; preferred.
• Experience in direct instructing within a large medical practice; preferred.

Equivalent combination of education and experience may be considered if applicable and must be directly related to the functions and body of knowledge required to successfully perform the job.

This position has the following supervisory responsibility:

• There is no supervisor responsibility for this position.

The ideal candidate will also possess the following knowledge, skills, and abilities:

• Knowledge of ICD-9/ICD-10.
• Proficiency in CPT, HCPCS and Correct Coding Initiative.
• Ability to perform in-depth abstract coding audits.
• Ability to demonstrate proficiency in meeting quality and quantity standards.
• Ability to be productive with minimal supervision.
• Effective organizational skills, multi-tasking, project and timeline planning, leadership and problem solving skills.
• Excellent written, verbal and teaching communication skills.

Duties and Responsibilities:

• Uses coding experience and knowledge to help ensure all patient visits are coded as per CMS, CPT and Correct Coding Initiative guidelines.
• Communicates with and assists in coding education of providers and support staff.
• Performs chart audits for assigned MHC providers to include presentation of audit results for providers.
• Ensures all encounters are coded and entered into the billing system within 24 business hours of completed office visit and chart completions.
• Provides Risk Adjustment Factor (RAF) review for all required patients.
• Works closely with Coding Manager to improve coding edits for claims scrubber.
• Identifies trends and proposes solutions for inaccuracies with coding.
• Provides orientation and training to new providers on coding and documentation guidelines and re-education as needed.
• Acts as a resource to providers and support staff.
• Interacts with all levels of personnel on coding issues.
• Informs the Coding Manager of changes in trends relating to the coding process affecting coding, charge entry, billing, payments, etc.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications and participating in professional organizations as it pertains to job-related duties/performance.
• Participates in in-service/education regarding quality improvement as required.
• Maintains a teaching resource center regarding coding education for providers.
• Performs all other related duties as assigned or requested.
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits:
MHC Healthcare’s vision is to be the premier provider and employer in community health. To support our mission and vision in our community, MHC Healthcare believes health and well-being must start at home. Therefore, employees have many opportunities to care for our own health and wellness with benefits such as:

• Medical, Dental, and Vision
• 403(b) with employer contribution
• Short-term disability and other benefits
• Paid time off including 11 holidays plus vacation and sick leave accrual
• Paid bereavement, jury duty, and community service time
• Employee discount for medical services ($500 per year for full-time)
• Education reimbursement ($3,000 per year for full-time)

MHC Healthcare will recruit, hire, train, and promote persons in all job titles without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or an other characteristic protected by law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

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