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Legacy Community Health Services Certified Medical Billing & Coding Specialist in Houston (Caroline), Texas

Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Job Description

Certified medical billing coder uses a system of coding to categorize patients and their ailments for the purpose of billing, record keeping, archiving and cataloging. Coders are also responsible for acting as a communication link between a billing office and a care provider's office. They file and retrieve medical records and also review patient information for preexisting conditions and other health concerns. The Certified medical billing/coder specialist must be skilled in understanding medical terminology and searching the medical providers documentation to identify all diagnoses, conditions, reasons for treatment, services and procedures recorded.

Essential Functions Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.

  • Responsible for maintaining coding compliance for multi-specialty clinic.

  • Responsible for maintaining current ICD-9, ICD-10, CPT and coding skills.

  • Perform internal quality assurance - summarize findings and report these to the Manager.

  • Identify areas of coding weakness and develop training plans to address.

  • Review/Audit patient disputes surrounding inappropriate coding in a timely manner.

  • Review/Audit insurance denials related to coding questions in a timely manner, providing remedy as needed.

  • Manage multiple tasks, prioritizing workload in a efficient manner.

  • Communicate clearly both verbally and in writing.

  • Audit new providers on 100% review for 30-90 day period.

  • Maintain an active Certified Professional Coder certification.

  • Assist the billing/collection specialists in verifying and correction coding issuers per the insurance request or claim denials.

    Education & Training Requirements

  • High School Diploma or equivalent required.

  • Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy and Physiology.

  • Knowledge of Pharmacology and Medical Terminology.

  • One or more of the following is required: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A).

    Work Experience Requirements

  • Minimum of two years of related experience in a business, medical or technical environment

  • Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plus.

  • Customer service driven.

  • Understanding of medical terminology and insurance laws/guidelines.

  • Excellent organization and time management skills along with excellent oral and written communication skills.

  • Strong team player.

  • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision.

  • Strong written and verbal communication skills; strong analytical, organizational and time management.

  • Certified Medical Billing Coder.

    Benefits

  • 9 Holiday + 1 Floating Holiday

  • PTO

  • 403b Retirement Plan

  • Medical / Vision / Dental (if eligible)

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