Certified Coder

Company: Neighborhood Health Center - WNY
Location: Buffalo
Posted on: April 9, 2025

Job Description:

If you believe healthcare is a right, that everyone deserves high quality care so they can enjoy their highest level of health and wellbeing, and you value each person's individual story - consider joining us at Neighborhood!

Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.

As a coder, you'll play an important role in the success of the organization by using your attention to detail, coding knowledge, communication and collaboration skills.



*About the Role:*

You'll use your teamwork skills and training as you review patient medical records, including physician notes, lab results, and procedure details and translate that information into standardized medical codes used for billing insurance companies and maintaining accurate medical records. Responsibilities include:
* Assigns appropriate medical codes using coding guidelines and reference manuals for diagnoses and procedures
* Verifies accuracy of coded data by checking for consistency and compliance with coding regulations and insurance standards
* Communicates with healthcare providers or other professionals to clarify unclear or missing information in medical records
* Prepares and submits accurate coded claims to insurance companies for reimbursement
* Stays updated on current coding guidelines, regulations, and changes in the medical field through continuous training to maintain compliance
* Analyzes coding trends and identifies potential issues for quality improvement
* Thoroughly understands medical terms, anatomy, and disease processes
* Maintains expertise with the main coding systems, including ICD, CPT and HCPCS
* Works with electronic health record (EHR) systems, coding software, and other relevant computer programs
* Researches and analyzes data needs for reimbursement
* Maintains knowledge of insurance policies, coverage, eligibility, and ability to differentiate between insurance plans
* Develops insight into how insurance companies work and the billing process, ensuring codes align with reimbursement requirements
* Reviews and reconciles claim denials relating to coding
* Ensures the security and confidentiality of patient information as mandated by HIPAA
* Reconciles any closed encounters not billed that are tracked by supervisor weekly
* Maintains production and keeps lag days at the specified timeframe
* Assists and provides training to new hired staff as needed
* Utilizes, maintains, and updates daily coder production log
* Utilizes, maintains and updates Google calendar to organize meetings, work schedule, as well as any work duties and tasks for timely completion
* Maintains and completes CEUs for Coding Certification
* Maintains a 90% or higher on bi-monthly coding audits performed by internal auditor



*Hourly Rate:* $22.84 an hour based on a full-time, 40 hour work week.

You will be primarily based at our Northwest location, 155 Lawn Ave in Buffalo.



*What it's Like to Work at Neighborhood:*

The top three words employees say describe the work environment are: *teamwork, supportive, kind*. These are from an anonymous survey of Neighborhood employees for the Buffalo Business First Best Places to Work competition. Neighborhood has earned "finalist" distinction in the competition the last four years. We are a group of flexible and kind individuals who are open to each other's ideas, and see opportunities to innovate and find solutions when challenges arise.



*Education and Skills to be a Coder:*
* High School diploma or equivalent
* Certified Professional Coder
* Able to read, write and speak the English language. A second language of Spanish preferred
* One year prior Medical Coding experience preferred
* One year Medical Billing experience is a plus
* Kindness; you treat each person with respect and compassion, valuing each person's story
* Resiliency; you see opportunities to innovate and find solutions when challenges arise
* Teamwork; you are open to others' unique perspectives, and will collaborate to meet shared goals



Must be available to work any shift Monday-Friday between 7:45 a.m. and 8:00 p.m.



*What We Offer:*

Compensation: Starting rate $22.84 per hour.

Benefits: You'll have options for medical, dental, life, and supplemental insurance. We also offer a 403b match, health savings accounts with employer contribution, wellbeing programs, continuing education opportunities, generous paid time off, holidays.



*About Neighborhood: *Neighborhood Health Center is the largest and longest serving Federally Qualified Health Center in Western New York, and is the highest ranked health center for quality in the region. We provide primary and integrated healthcare services all under one roof, regardless of a person's ability to pay. Services include internal/family medicine, pediatrics, OB-GYN, dentistry, podiatry, psychiatry, vision care, nutrition and behavioral health counseling, and pharmacy services. We're working toward a Western New York where all enjoy their highest level of health and wellbeing.

_Neighborhood Health Center is an equal opportunity employer._

Job Type: Full-time

Pay: $22.84 per hour

Expected hours: 40 per week

Benefits:
* Dental insurance
* Employee assistance program
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday

Work Location: In person

Keywords: Neighborhood Health Center - WNY, Erie , Certified Coder, Other , Buffalo, Pennsylvania