Position Description:

CURIS Connect is a remote company that specializes in serving Community Health Centers and their patients. We are currently seeking a Certified Medical Coding specialist with FQHC billing experience, who is interested in working as an independent contractor for CURIS Connect. The amount of hours per week will be determined per project, contract, scope of work, and may vary.

*Contractor will be required to file a W9 for all taxes associated with earnings through this role.

Job Summary:

The Certified Medical Coding Specialist will evaluate medical records and claims to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Certified Medical Coding Specialist may also provide technical guidance and training on medical coding to providers and staff.

Duties/Responsibilities:

• Evaluates medical record documentation and claim coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient encounters and to ensure that data complies with legal standards and regulatory guidelines.
• Interprets medical and/or diagnostic descriptions and procedures to accurately assign and sequence the correct ICD--CM and CPT codes.
• Reviews state and federal reimbursement claims for completeness and accuracy before submission to minimize claim denial.
• Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
• Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
• Provides technical guidance/training to providers and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
• Educates and advises staff on proper code selection, documentation, procedures, and requirements as appropriate.
• Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.

Required Skills/Abilities:

• Preferred experience in EHR/EMRs: eCW, Epic, NextGen, and/or Athena
• Knowledge of ICD--CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
• Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
• Ability to read and interpret medical procedures and terminology.
• Ability to develop training materials, make group presentations, and to train staff
• Ability to exercise independent judgment;
• Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
• Ability to maintain confidentiality.

Education and Experience:

• Possession of an Accredited Record Technicians certification (ART) or Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association; or
• Two years of experience in medical record coding, or the;
• Equivalent combination of experience, education, and training that would provide the required knowledge and abilities.