Job Information
Minnesota Community Care Medical Coding Specialist in St. Paul, Minnesota
Description
The Medical Coding Specialist will evaluate medical records and encounters to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.
Essential FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
Assign codes to diagnoses and procedures, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations and meet current policy coding guidelines
Communication and training with provider(s) on any documentation that is insufficient or unclear to meet current policy coding guidelines
Communicate with clinical staff and management regarding documentation
Research information in cases where the coding is complex or unusual to meet FQHC guidelines
Keep up to date with current Medicaid methodology and coding requirements for FQHC billing/coding
Audit and review patient charts and documents for accuracy and over/under coding
Represent the Business Office at monthly provider meetings to educate, answer questions and assist staff in coding needs/questions
Work with management on special programs related to grants, training, and risk management score improvement
Key Competencies
Strong knowledge of anatomy, physiology, and medical terminology
Commitment to a high level of customer service
Familiarity with ICD-10 codes and procedures
Solid oral and written communication skills
Working knowledge of medical jargon and anatomy preferred
Able to work independently
Commitment to driving diversity, equity, and inclusion
Excellent verbal and written communication skills
Excellent organizational skills and attention to detail
Excellent time management skills with a proven ability to meet deadlines
Strong critical thinking skills
Experience in EPIC as EMR system.
Understanding of FQHC billing and coding process.
Ability to adapt to the needs of the organization
Work EnvironmentPrimary environment is home office, administrative office, or clinical office.
Physical Demands
- Prolonged periods of sitting at a desk and working on a computer.
Travel RequirementsNone
Who We AreAs Minnesota's largest Federally Qualified Health Center, Minnesota Community Care ensures that the communities we serve have access to high quality and affordable health care. Our patients predominantly identify as people of color (80%), low-wealth (61% patients = 200% FPL), and un/under-insured (40% uninsured, 45% publicly insured) (UDS, 2020).
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Minnesota Community Care values building a culturally diverse staff that reflects the communities it serves, and strongly encourages women, minorities, and persons with disabilities to apply. Minnesota Community Care is committed to providing Equal Employment Opportunities to all applicants. EO M/F/Disability/Vet Employer.
Required Education and Experience
High school diploma or equivalent with;
Minimum (2) years’ experience in outpatient coding and/or Health Information Management required;
Successful completion of an ICD-10-CM training or certification curriculum; or if currently pursuing such, then completion of 50% or more of the curriculum to date with an expectation of finishing within 2 months after hire
Must provide certification from a recognized professional coding organization, transcript from an educational institution, or similar proof of successful completion (i.e., competency assessments
Preferred Education and Experience
Minimum (2) year of experience in a medical office setting highly preferred (i.e., Family Practice, FQHC, Community Clinic, ambulatory surgery center, hospital, doctor’s office)
Completed coursework in Human Anatomy & Physiology, Medical Terminology, Introduction to Coding (including ICD-10 and CPT) preferred
Bilingual in Spanish/English or Hmong/English highly preferred
Additional Eligibility Requirements
Demonstrated success in working effectively with target population(s).
Change Agile; ability to operate in the gray and flex to new developments or situations.
Experience working in a multi-site environment is highly desired.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.