Medical Coding Specialist

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 Functions Reasonable 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

Work Environment Primary environment is home office, administrative office, or clinical office.

Physical Demands

Travel Requirements None

Who We Are As 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

Preferred Education and Experience

Additional Eligibility Requirements

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 notice from the Department of Labor.