Behavioral Health Coder/Billing Specialist
Company: Fair Haven Community Health Care
Location: New Haven
Posted on: March 20, 2023
Job Description:
Fair Haven Community Health CareFHCHC is a forward-thinking,
dynamic, and exciting community health center that provides care
for multiple generations at nearly 130,000 office visits in
17locations.Overseen by a Board of Directors, the majority of whom
are patients themselves, we are proud to offer a wide range of
primary and specialty care services, as well as evidence-based
patient programs to educate patients in healthy lifestyle choices.
As we grow and are able to bring high-quality health care to more
areas that need access, we continue to put our patients first in
everything we do. The mission of FHCHC is "To improve the health
and social well-being of the communities we serve through
equitable, high quality, patient-centered care that is culturally
responsive."For over 50 years, we have been a health care leader in
our community focused on providing excellent, affordable primary
care to all patients, regardless of insurance status or ability to
pay. Fair Haven is proud to have a diverse and motivated team of
professionals who are constantly seeking ways to enhance and
improve the health and well-being of all patients.We believe that
everyone should have access to high-quality medical and dental
care, regardless of ability to pay.ob purposeFair Haven prides
itself on efficient billing services including the filing of
claims, appeals processing, and authorizations and, above all, a
great passion for helping individuals obtain treatment. The
Behavior Health coder/Billing Specialist works with the Billing and
Behavior Health departments ensuring all claims are reviewed for
accurate documentation, submission and reimbursementDuties and
responsibilitiesThe Behavior Health Coder/Billing Specialist
maintains the professional reimbursement and collections process
for the Behavior Health Program. Typical duties include but are not
limited to:
- Reviews medical record documentation to determine appropriate
ICD-10-CM/CPT codes and modifiers in accordance with official
coding guidelines.
- Codes in accordance with coding and departmental guidelines.
Maintaining no less than 93% accuracy in choice of codes, as
observed in quarterly auditing.
- Prepares by review the submission of clean claims to various
insurance companies
- Including but not limited to; carrier, guarantor, place of
service and servicing provider
- Work claims and claim denials to ensure maximum reimbursement
for services provided
- Uses department resources regularly and follows workflows, with
minimal assistance or intervention, to perform daily work to meet
daily metrics.
- Works with peers and/or leadership to create and maintain
accurate up-to-date policies and procedures.
- Perform other related duties that may be inclusive, but not
listed on the job description Qualifications
- Minimum of a High School Diploma or GED and 1 year of
experience in a medical setting.
- A Certified Professional Coding (CPC) certificate through AAPC
or other national recognized agency is required or the willingness
to get certified within the first 90 days of employment.
- The ideal candidate will have 1-2 years of Behavior Health
billing and documentation review experience;
- Federally Qualified Health Centers is helpful.
- The selected candidate will have the ability to work in a team
environment or independently; to meet all established deadlines,
metrics and assignment goals at all times and have oral and written
proficiency in English. Bi-lingual in English and Spanish is highly
preferred.
- He/she must be able to use computer and multi-lined telephones;
Direction of OthersNoneOSHA StatusCategory III-Low Risk
PositionGenerally works in an office environment with no exposure
to bloodborne pathogensPhysical requirementsPhysical Demands:
Requires walking, bending, sitting, standing, writing, reading,
telephone use, data input into computer, pulling medical records,
Mental Demands: Ability to cope with continual changing priorities
under potentially stressful conditionsManual Dexterity Required:
Ability to use a keyboard, telephone.American with Disabilities
Requirements External and internal applicants, as well as position
incumbents who become disabled, must be able to perform the
essential job specific functions (listed within each job specific
responsibility) either unaided or with the assistance of a
reasonable accommodation to be determined by the organization on a
case by case basis.American with Disabilities Requirements:External
and internal applicants, as well as position incumbents who become
disabled, must be able to perform the essential job specific
functions (listed within each job specific responsibility) either
unaided or with the assistance of a reasonable accommodation to be
determined by the organization on a case by case basis.Fair Haven
Community Health Care is an Equal Opportunity Employer. FHCHC does
not discriminate on the basis of race, religion, color, sex, gender
identity, sexual orientation, age, non-disqualifying physical or
mental disability, national origin, veteran status or any other
basis covered by appropriate law. All employment is decided on the
basis of qualifications, merit, and business need.
Keywords: Fair Haven Community Health Care, New Haven , Behavioral Health Coder/Billing Specialist, Healthcare , New Haven, Connecticut
Didn't find what you're looking for? Search again!
Loading more jobs...