|Required Certifications:||CPC or
|Required Experience:||1 to 2 years
The Certified Professional Coder is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicaid and Medicare. This position participates in the preparation and coordination of internal and external reviews and requires knowledge and understanding of Connecticut and Federal regulations, Medicaid and the Joint Commission as utilized in conducting internal reviews to validate Clinic compliance.
Plainville, CT. This will be a mix of on-site and remote work.
EDUCATION AND EXPERIENCE/QUALIFICATIONS
High school graduate or GED equivalent plus current CPC or CCS-P coding certification required. Two years experience in medical coding is required. Excellent verbal and written communication skills and proficiency in Microsoft office software is required.
Knowledge of Connecticut and Federal regulations, Medicaid requirements and the Joint Commission standards and activities is preferred. Knowledge or experience in a Federally Qualified Health Center (FQHC) is preferred. Strong background in medical, behavioral health and dental billing and the ability to learn new billing systems quickly preferred.