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The Clinic Coder II is responsible for accurately abstracting and coding patient records to ensure compliance with billing guidelines and data collection standards. They will optimize revenue cycle management by validating charges against medical documentation and resolving coding discrepancies.
From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
As our Clinic Coder II, you will be instrumental in the financial health and operational integrity of our healthcare ministry. Your primary responsibility will be to accurately abstract and code patient records in compliance with established coding, billing, and data collection guidelines. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services.
Every day you will meticulously review medical records to determine the most appropriate diagnoses, utilizing ICD-9-CM and CPT-4 coding rules and guidelines. You'll work closely with practice staff on MS-DRG and APC assignments, accurately sequence diagnostic and procedural codes, and validate charges against medical documentation. Your role includes identifying and resolving discrepancies in coded charges, collaborating with management to ensure accurate account rectification and upholding the highest ethical standards in medical billing.
To be successful in this medical coding specialist role, you will need a strong understanding of healthcare billing, robust knowledge of medical insurance, payer contracts, and automated systems. You'll possess exceptional attention to detail, critical thinking skills, and a commitment to accuracy, maintaining strict confidentiality of medical records. Candidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting.
Required
Preferred
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