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MEDICAL BILLER AND CODER (CPC)

Job Details

Job Location

Callen-Lorde Community Health Center - Manhattan - New York, NY

Remote Type

Hybrid

Position Type

Full Time

Education Level

High School

Salary Range

$30.00 - $37.00 Hourly

Travel Percentage

None

Job Shift

Day

Job Category

Health Care

Description

About Us

Callen-Lorde is the global leader in LGBTQ+ healthcare. Since the days of Stonewall, we have been transforming lives in LGBTQ+ communities through excellent comprehensive care, provided free of judgment and regardless of ability to pay. In addition, we are continuously pioneering research, advocacy and education to drive positive change around the world, because we believe healthcare is a human right.

Our Mission

Callen-Lorde Community Health Center provides sensitive, quality health care and related services targeted to New York's lesbian, gay, bisexual, and transgender communities — in all their diversity — regardless of ability to pay. To further this mission, Callen-Lorde promotes health education and wellness, and advocates for LGBTQ+ health issues.

About the Role

Callen-Lorde Community Health Center is seeking a detail-oriented and experienced Medical Biller & Coder to join our Patient Accounts team. This vital role combines the dynamic functions of accounts receivable billing and collection with medical coding expertise, ensuring accurate revenue cycle management while supporting our mission to provide exceptional healthcare to LGBTQ+ communities.

Key Responsibilities

As a Medical Biller & Coder, you will manage the complete revenue cycle process while providing coding expertise to ensure compliance and accuracy:

+ Billing and Revenue Cycle Management:Capturing patient service charges in EPIC, preparing and submitting electronic and paper claims, processing payments from third-party payers and patients, and managing monthly patient statements to ensure optimal revenue collection.

+ Medical Coding Excellence:Assigning accurate ICD-10, CPT-4, and HCPCS codes with proper sequencing and modifiers, reviewing and validating coding for denied claims, and serving as a coding resource for the billing department to ensure compliance with regulations.

+ Claims Management and Follow-Up:Monitoring open accounts receivable, identifying and correcting claim denials, conducting phone follow-up and online claim status verifications, and performing specialized billing functions such as Medicaid Public Transportation program billing.

+ Insurance Operations:Performing insurance verifications for new patients and coverage changes, answering billing and insurance questions from patients, staff, and insurance companies, and resolving patient billing complaints with professionalism and empathy.

+ Compliance and Documentation:Providing support to providers on proper coding and documentation practices, researching compliance requirements for provider scope of practice and FQHC guidelines, and maintaining strict adherence to HIPAA guidelines and confidentiality standards.

+ System Management:Utilizing EPIC practice management system and Trizetto clearinghouse systems effectively, ensuring maintenance and security of electronic and paper billing records, and participating in system updates and training as needed.

Work Schedule

Callen-Lorde's main site in Chelsea is open Monday through Saturday. This is a full-time position with regular Monday - Friday 9am-5pm business hours. Occasional evenings may be required.

Benefits

Salary will be based on experience and will be accompanied by a comprehensive benefits package including an exceptional low cost medical plan option for you, your spouse/domestic partner and/or your family, dental insurance, vision insurance, no cost life insurance, short- and long-term disability insurance, Flexible Spending Account, Tuition Assistance, commuter benefits, a generous paid time off plan, and a 403B retirement savings plan. Learn more about our employee benefits https://callen-lorde.org/benefits/

Qualifications

Education, Experience

+ High school diploma required, Bachelor's degree preferred

+ Current CPC-A or CPC certification required

+ 3+ years medical billing andcoding experience required

+ 3+ years experience using EPIC electronic health record

+ Thorough understanding and experience with ICD-10, CPT-4, and HCPCS coding systems, FQHC billing guidelines, and healthcare compliance regulations

+ Excellent written and verbal communication skills with ability to interact professionally with patients, staff, and insurance representatives

+ Must possess absolute commitment to confidentiality, professional integrity, and HIPAA compliance

Desired Characteristics, Skills

+ Strong interpersonal and ability to resolve complex billing issues with patience and empathy

+ Ability to professionally and diplomatically interact with internal and external stakeholders. Obtains cooperation from and works collaboratively with peers and management. Embraces problems as opportunities to propose and develop solutions.

+ Demonstrate enthusiasm for learning and proactively expand knowledge and skills by independently researching new areas of expertise.

+ Highly self-motivated, taking initiative to identify needs and respond promptly and effectively.

+ Team player with collaborative and supportive approach to work

+ Demonstrate cultural competence and a proven ability to work respectfully and effectively with diverse populations, including LGBTQ+ communities and people from various cultural, socioeconomic, and educational backgrounds.

+ Commitment to continuous learning and professional development.

+ Commitment to community-based healthcare, understanding its vital role in promoting health equity and improving population health outcomes.

+ Commitment to the mission of Callen-Lorde.