Certified Coding Specialist

Join Our Team at Valley-Wide Health Systems, Inc.

We're looking for a Certified Coding Specialist who is passionate about accuracy, compliance, and supporting the financial health of our organization through expert medical coding and documentation review.

This role plays a vital part in ensuring patient encounters are accurately coded, claims are submitted correctly, and reimbursement processes run efficiently. If you have a strong understanding of coding guidelines, enjoy problem-solving, and thrive in a detail-oriented healthcare environment, we'd love to have you join our team.

Responsibilities & Essential Functions:

• Accurately convert patient encounters into reimbursable claims for timely payment
• Review daily system-generated error reports to correct or complete missing data elements
• Track issues missing documentation or charges that require follow up
• Assists in implementing solutions to reduce back-end billing errors
• Utilizes technical coding principles
• Assist in design and implementation of workflow changes to minimize rework
• Analyze the RCX and EPM system through NextGen to verify valid diagnosis codes for charges
• Reviews ICD 10, HCPCS, CDT and CPT codes on claims for proper submission while decreasing claim denials
• Update ICD 10, HCPCS, CDT, CPT codes on claims for proper submissions while decreasing claim denials
• Serve as a resource for department managers, staff, providers and administration
• Provides coding expertise to billing staff and coding associates in addressing appeals for coding-related denials
• Minimize claims cycle-times, defects and reprocessing
• Performs regular training, as needed for providers, clinical support staff, operations coding associates and billing staff
• Communicates effectively with Clinical staff, Providers and office staff on an ongoing basis regarding documentation issues or needs; provides assistance, guidance and support in a respectful and courteous manner
• Strive towards reducing the number of missing and incomplete encounters received daily
• Maintains up to date knowledge of changes in coding guidelines and regulations

Qualifications & Skills:

• Certified Professional Coder certification through an accredited training course
• 2 years' experience working in medical billing, experience using ICD-10, CPT and HCPCS codes preferred
• Intermediate level computer experience
• Advance knowledge of medical terminology and anatomy
• Displays enthusiasm toward the work and the mission of the organization
• Ability to communicate professionally with staff at all levels
• Demonstrates accuracy and high attention to detail

Location & type of job: This job is a full-time onsite job located in Alamosa or La Junta, Colorado. Travel is required throughout the various regions/clinics.

Why Join Valley-Wide?

Valley-Wide Health Systems, Inc. is dedicated to creating a patient-centered, supportive environment for both employees and the communities we serve.

We offer a comprehensive benefits package, including:

• Free Health Insurance (additional plan options available)
• Employer-paid Air Ambulance Coverage (MASA)
• Employer-paid Basic Life, LTD, STD
• Retirement Match
• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• Paid Leave

For more information and to apply, visit our website: Valley-Wide Careers

Equal Opportunity Employer Statement: Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, national origin, sex, age, disability, or any other status protected by law. All qualified applicants will receive equal opportunity, with hiring decisions based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA) For more information on employee rights under FMLA, please visit: FMLA Employee Rights