Qureos Mentor

Affinia Healthcare

Affinia Healthcare is a dynamic and transformative health system dedicated to providing affordable primary and preventive health care services to residents in St. Louis. The organization aims to deliver high-quality health care and exceptional service while promoting healthy lifestyles. With multiple health facilities, Affinia Healthcare offers comprehensive primary care services on a sliding fee scale, along with various health support services and community health programs. Their mission is to ensure a balanced, healthy future for the communities they serve.

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 Position Summary:
 
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 
 
 
 Education:
 
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Experience
 
 
 
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 Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
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 Lab coding experience required.
 
 
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 Skills And Abilities
 
 
 
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 Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
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 Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
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 Knowledge of LCD/NCD coding policies regarding Laboratory Services
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 Ability to devise training materials to teach staff correct
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 Professional demeanor and appearance, strong ethics, team player with positive attitude.
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 Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
 
 
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 Transportation Requirement:
 
 None
 
 
 
 License(s)/Certification(s) Required:
 
 HIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Essential Functions
 
 
 
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 Reviews medical record documentation to identify all services provided by
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 Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
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 Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
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 Assists with the submission of billing
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 Obtains and submits copies of medical documentation with clinician charges to support billing to third party
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 Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
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 Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
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 Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
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 Compiles monthly reports as
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 Identifies trends/problems in medical documentation and recommends possible solutions.
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 Provides training support to billing department in handling of rejections and denials of
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 Correction and submission of reference lab billing requests.
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 Performs other duties as assigned.
 
 
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 Marginal Functions
 
 
 
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 Assists in audits.
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 Codes input forms as required.
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 Provides backup support to billing department.
 
 
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 Supervises:
 
 None
 
 
 
 NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
 
 
 
 
 NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
 
 
 
 
 AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 
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Certified Medical Coder

Join Affinia Healthcare and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Affinia Healthcare

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Certified Medical Coder