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

• Strong knowledge of anatomy, physiology, and medical terminology
• Commitment to a high level of customer service
• Familiarity with ICD-10 codes and procedures
• Solid oral and written communication skills
• Working knowledge of medical jargon and anatomy preferred
• Able to work independently
• Commitment to driving diversity, equity, and inclusion
• Excellent verbal and written communication skills
• Excellent organizational skills and attention to detail
• Excellent time management skills with a proven ability to meet deadlines
• Strong critical thinking skills
• Experience in EPIC as EMR system.
• Understanding of FQHC billing and coding process.
• Ability to adapt to the needs of the organization

Work Environment

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

Physical Demands

• Prolonged periods of sitting at a desk and working on a computer.

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

• High school diploma or equivalent with;
• Minimum (2) years' experience in outpatient coding and/or Health Information Management required;
• Successful completion of an ICD-10-CM training or certification curriculum; or if currently pursuing such, then completion of 50% or more of the curriculum to date with an expectation of finishing within 2 months after hire
• Must provide certification from a recognized professional coding organization, transcript from an educational institution, or similar proof of successful completion (i.e., competency assessments

Preferred Education and Experience

• Minimum (2) year of experience in a medical office setting highly preferred (i.e., Family Practice, FQHC, Community Clinic, ambulatory surgery center, hospital, doctor's office)
• Completed coursework in Human Anatomy & Physiology, Medical Terminology, Introduction to Coding (including ICD-10 and CPT) preferred
• Bilingual in Spanish/English or Hmong/English highly preferred

Additional Eligibility Requirements

• Demonstrated success in working effectively with target population(s).
• Change Agile; ability to operate in the gray and flex to new developments or situations.
• Experience working in a multi-site environment is highly desired.