Revenue Cycle Coder

Description:

At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare-we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area.

With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you.

General Purpose: Responsible for understanding the billing requirements for all payors and programs

Essential Duties and Responsibilities:

• Responsible for understanding the billing requirements for all payers
• Enters and approves data into the Management Information system according to appropriate guidelines to ensure that the STRIDE accounts receivable is accurate.
• Analyzes provider documentation to assure the appropriate Evaluation & Management coding levels are assigned the correct CPT or CDT code
• Provides expertise to the billing staff in addressing appeals for denials for incorrect diagnoses for services performed.
• Completes audits of provider encounters to ensure compliance and maximize reimbursement.
• Serves as coding reviewer to support the charge posting process.
• Execute daily workload within full compliance of state and federal billing regulations.
• Accept charges, review, analyze, and code diagnostic and procedural information that determines Medicaid, Medicare, CHP+, and private insurance payments.
• The position will require review of ICD-9-CM, ICD-10-CM, CPT, CDT and HCPCS coding for procedures performed by providers.
• CDT and HCPCS coding for procedures performed by providers.
• Conducts periodic Quality Assurance Processes for Revenue Cycle Coders to ensure accuracy and policy compliance
• Summarize and reports on the trends of provider documentation
• Provides initial and ongoing training to provide staff regarding coding compliance.
• Develop training materials for ongoing use by provider staff, and Patient Accounts staff
• Perform other duties as assigned

Requirements:

STRIDE Values:

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience:

• Required: High School Diploma or GED.
• Required: CPC-A, RHIA ,RHIT, CCA and/or CCS certification
• CPC and/or CRC preferred.

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite and various audio/video platforms
• Internal and external IT ticketing systems

Working Environment and Physical Activities

Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making.

At STRIDE Community Health Center, we value a strong and collaborative work environment. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community!

Work Schedule

Monday-Friday 8:30am-5:00pm - 3 days in office, 2 days working from home

This hybrid role requires candidates to be located in Colorado or in the process of relocating.

STRIDE offers a competitive hourly range of $24.00-$34.00, depending on experience.

The salary range reflects STRIDE’s good faith estimate of potential compensation at the time of posting. The final offer for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty and training.

Why STRIDE?

Join us for a fulfilling career with a comprehensive full-time benefits package that promotes professional growth, well-being, and financial security, including:

• Medical, dental, and vision coverage
• Paid time off (PTO) and holidays
• Health Savings Account (HSA) and Flexible Spending Account (FSA), including dependent care options
• 401(k) with matching
• Work-life balance
• NHSC Loan Repayment
• Tuition reimbursement and/or Continuing Medical Education (CME)
• No nights, weekends, or major holidays
• Employee Assistance Program (EAP)
• Employee Discounts on top attractions, hotels, more

STRIDE conducts background checks, including criminal history, education, license and certification.

STRIDE is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.

STRIDE complies with the Americans with Disabilities Act, providing reasonable accommodations as needed.

Health and Safety Commitment:

To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Application submission closing date: Applicants will be considered until the position is filled.