Medical Coder

Cedar Point Health is growing and seeking a coder to join our team. The coder is responsible for reporting data completely and accurately in accordance with regulatory standards and requirements, utilizing applicable official coding conventions, rules, and compliance within the practices of CPH.

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and Paid Time Off including sick time.

Background checks will be performed with an offer of employment.

*FOR INTERNAL CANDIDATES - SEE BELOW

Responsibilities: The Medical Coder works closely with the Revenue Cycle Manager to monitor and maintain accounts receivable at all levels defined in the policy.

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The Medical Coder will perform charge entry with consideration of all healthcare data elements, ensuring validity of coding and charge additions or deletions, per CPH policies and procedures.

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Report accurate quality data to insurance companies and applicable organizations.

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Interacts with CPH staff, including physicians and support staff, coders and billing staff regarding any billing and documentation policies, procedures and conflicting/ambiguous or non-specific documentation of concern.

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Assist CPH team members with claim issues that include denials and appeals.

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Facilitate billing inquiries from patients.

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Maintain insurance and patient accounts receivable.

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Facilitate claim issues that include denials and appeals.

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Perform random medical record audits and reviews for provider cross checks.

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Produce reports related to Provider feedback.

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Produce reports related to coding performance for the Revenue Cycle Manager.

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Uphold medical documentation requirements for billing and coding guidelines.

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Maintain coding certification requirements.

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Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.

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Other duties as assigned.