Coding Specialist - Full-time

Work for an employer who loves you back! Join our GROWING team! 

 

Make a difference as we seek those who want to assist us in fulfilling our mission: "To improve the health of our patients and the residents of our community, with special concern for the underserved."

 

Cornerstone Care has a long history of serving patients in our region and with over 24 million dollars in annual revenues. You can join a dynamic team of professionals where your contributions and voice make a difference.

 

We are the best family care center across Southwestern PA and Northern WV for affordable healthcare.

 

 

Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pa., is seeking a Coding Specialist to join our team.This is a not a fully remote role, but some remote work is available.  Office location can be based on any of the following sites: Sto Rox, Hilltop, Greensboro, Mt. Morris, Waynesburg or Burgettstown. 

 

POSITION SUMMARY: Responsible for coding health center patient encounters using ICD10, CPT and HCPCS coding tools. Reviews patient medical records and ensures their accuracy and completeness. Communicates with physicians and other health care providers when necessary, regarding medical record documentation. Receives and answers billing related inquiries as related to ICD10, CPT and HCPCS coding.

JOB DUTIES AND RESPONSIBILITIES:

• Reviews the medical record to ensure compliance with established coding guidelines, third party reimbursement policies and state and federal regulations. 
• Reviews the medical record to accurately assign codes to patient encounters using ICD10, CPT and HCPCS coding tools; codes to the highest level of specificity, using modifiers when required. 
• Abstracts all necessary information from patient health records to identify primary and secondary complications and co-morbid conditions. 
• Ensures that the final diagnosis (ICD10) and procedures (CPT) state by the physician or other health care provider accurately reflect the care and treatment rendered. 
• Investigates charges, ICD10, CPT and HCPCS codes inquiring regarding billing discrepancies, in collaboration with medical personnel, insurance companies, patients and other staff. 
• Audits clinical documentation to ensure accuracy and completeness and identify areas for improvement. 
• Keeps abreast of the latest coding guidelines and regulations to ensure compliance. 
• Attends staff meetings as requested by the Director. 

REQUIREMENTS:

• An associate degree in health information technology or a related field OR.
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent highly preferred.
• A minimum of 2-3 years of experience in medical coding, preferably in a healthcare setting.