WellPower · 21 hours ago
Enterprise Coding Specialist
WellPower envisions a community where every person’s mental health is fostered through strength, resilience and hope. The Enterprise Coding Specialist is responsible for accurately assigning diagnosis and procedure codes, validating charges, and ensuring compliance with coding and reimbursement regulations.
Mental Health Care
Responsibilities
Navigate patient health records and related systems to determine accurate diagnosis and procedure codes, including modifiers
Validate charges against health record documentation
Communicate with providers, clinicians, and office staff regarding documentation issues or coding needs
Identify and escalate concerns to leadership and provide resolutions for moderate to complex problems
Track issues such as missing documentation, charges, and provider queries to ensure timely coding
Consistently meet or exceed coding quality and productivity standards
Maintain confidentiality and adhere to privacy requirements related to patient information
Stay current on changes in coding and reimbursement guidelines and regulations
Maintain knowledge of applicable laws, regulations, and ethical standards
Other duties as assigned
Qualification
Required
High School Diploma/GED and 5 years of work experience, OR Associate's degree and 3 years of experience, OR Diploma/Certification in Coding and 1 year of experience
Experience in assisting and identifying learning needs as well as providing training to provider and clinician staff
Expertise in mental health, substance use, and primary care coding
Strong analytical and communication skills to collaborate effectively with providers and leadership
Navigate patient health records and related systems to determine accurate diagnosis and procedure codes, including modifiers
Validate charges against health record documentation
Communicate with providers, clinicians, and office staff regarding documentation issues or coding needs
Identify and escalate concerns to leadership and provide resolutions for moderate to complex problems
Track issues such as missing documentation, charges, and provider queries to ensure timely coding
Consistently meet or exceed coding quality and productivity standards
Maintain confidentiality and adhere to privacy requirements related to patient information
Stay current on changes in coding and reimbursement guidelines and regulations
Maintain knowledge of applicable laws, regulations, and ethical standards
Preferred
Associate's Degree in Health Information Management (HIM) or similar
Completion of AHIMA or AAPC approved coding program
RHIT – Registered Health Information Technician (AHIMA)
RHIA – Registered Health Information Administrator (AHIMA)
Certified Coding Specialist (AHIMA)