Medical Billing Coder

Excitement abounds at Heritage Behavioral Health Center!

We are a mission-driven Certified Community Behavioral Health Clinic located in Decatur, Illinois who is dedicated to improving mental health and substance use care to individuals in a multi-county area. We recognize that all individuals at our organization have an impact on patient care - regardless of the position they hold.

Why join us?

• We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package.
• We are expanding our primary care, mental health and substance use services to individuals in Central Illinois and beyond and are looking for dedicated staff to meet the needs of our clientele.
• A new salary structure is now in place! Our salaries have been updated and are competitive at both the state and national levels with wonderful benefits.
• Full-time employees receive 56 paid days off during their 1^st year of employment (this includes every other Friday off PAID for your wellness needs). This increases to 61 days the 2^nd year and continues to increase with tenure.
• We have expanded our employee insurance benefit offerings and made them more affordable.

At Heritage, we believe in taking care of our staff's needs so that they can concentrate on taking care of the needs of the individuals we serve. Our staff are our greatest asset, and we treat them as such!

We are pleased to present the following position for your consideration:

Overview: Medical Billing Coder (Primary Care, Psychiatry and Addiction Services)

The Certified Coder is responsible for accurately coding medical procedures, psychiatric and addition services, primary care services, and diagnoses to ensure proper billing and compliance with regulatory standards. This role involves reviewing clinical documentation, assigning appropriate CPT, ICD-10, and HCPCS codes, and collaborating with healthcare providers to clarify documentation discrepancies. This position may be considered for hybrid work, both in office and remote settings.

Core Responsibilities Include:

• Coding

1. Accurately assign CPT, ICD-10, and HCPCS codes to primary care services, procedures, and diagnoses based on clinical documentation.
2. Ensure coding compliance with federal regulations, payer policies, and industry standards.
3. Verify accuracy of codes and modifiers to optimize reimbursement while minimizing denials and rejections.
4. Maintain up-to-date knowledge of coding changes, guidelines, and payer requirements.

• Documentation Review

1. Review medical records and clinical documentation to ensure completeness, accuracy, and compliance with coding standards.
2. Collaborate with healthcare providers to clarify documentation discrepancies and obtain necessary information for accurate coding.

• Billing and Reimbursement

1. Work closely with the billing department to ensure that coded services are billed correctly and promptly.
2. Assist in resolving coding-related denials and rejections

• Compliance and Audits

1. Participate in coding audits and compliance reviews to identify areas for improvement and ensure adherence to coding standards.
2. Provide feedback and education to providers and staff on documentation and coding practices.

• Continuous Improvement

1. Stay current with changes in coding regulations, billing practices, and healthcare policies through ongoing education and training.
2. Recommend process improvements to enhance the accuracy and efficiency of the coding process.

Knowledge, Skills and Abilities:

• The ideal candidate will have strong attention to detail, knowledge of coding guidelines, and experience in primary care coding.
• In-depth knowledge of CPT, ICD-10, and HCPCS coding systems.
• Familiarity with electronic health records (EHR)
• Excellent organizational skills
• Excellent attention to detail and analytical skills.
• Strong understanding of medical terminology, anatomy, and primary care services.
• Ability to work independently and communicate effectively with healthcare providers and staff.
• Knowledge of HIPAA regulations and coding compliance standards.
• Ability to work in a team-based environment with healthcare providers billing staff, and other team members.
• Excellent verbal and written communication skills.

Education and Experience:

• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent through AAPC, AHIMA, or another recognized certification body.
• Minimum high school diploma or equivalent.
• Minimum of 2-3 years of coding experience, with a strong background in primary care.
• Valid driver's license, reliable means of transportation, and proof of automobile insurance is required.

Salary Range: $37,440 - $60,320 per year ($18.00 to $29.00 per hour) - dependent on education and experience

Heritage also offers the following with this position:

1. Generous vacation, sick and personal leave
2. WELLNESS days - 26 days per year (every other Friday off paid)
3. Paid holidays - 9 in 2024
4. Health Club/Fitness Reimbursement
5. Employee Assistance Program
6. Continuing education opportunities
7. Tuition assistance program
8. Agency provided life insurance and short-term disability policies
9. Retirement plans (401k and Roth)
10. Optional insurance benefits, including health, dental, vision, flex spending accounts (healthcare, dependent care), and additional life insurance. (The health insurance benefit includes substantial agency contribution towards the cost.)
11. We are a National Health Service Corp site which gives staff access to the National Health Service Corp federal student loan forgiveness program (LCPC, LCSW, MD, APN, RN, CADC, LSW, and LPC individuals). For more information, visit www.hrsa.gov.