Good Neighbor Community Health Center (Columbus) and GN Fremont are primary health care clinics that offer a wide variety of services, including family and general practice medicine, pediatrics, OB/GYN care, dentistry and behavioral health. We are located together to better serve our patients, offering them a "one-stop shop" for their healthcare needs. Good Neighbor Community Health Center and Good Neighbor Fremont are both federally qualified community health centers (FQHC). FQHC is a federal designation given by the Bureau of Primary Health Care at the federal Department of Health and Human Services. FQHCs are located in, or serve, a federally designated medically underserved area/population. In 2020, Good Neighbor Community Health Centers cared for 10,978 patients from more than 45 zip codes.
Good Neighbor Community Health Center and Good Neighbor Fremont employ a variety of clinicians, nurses and other staff to provide high-quality, patient-centered care to under-served individuals and families in our cross-cultural, primary care settings. Bilingual language skills (English/Spanish) are a plus.
In addition to a competitive salary, employees who work a minimum of 30 hours a week are eligible for benefits. Coverage begins on the first of the month after their hire date.
Our current job openings are listed below. You can also find a summary of benefits, and access our easy Application for Employment.
Help make a difference in the life and health of your community! Come join our team!
ESSENTIAL JOB FUNCTIONS:
1. Assist in the development, implementation and maintenance of policies and procedures for billing and coding department.
2. Design, implement and maintain automated and manual health information systems. Monitors record keeping activities to ensure the accuracy, security of electronic/manual health records including compliance with accreditation and licensing standards and facility policies.
3. Develops and maintains billing structures in the electronic health record system. Determines coding definitions, adjustment codes, procedures and diagnosis codes. Ensures accuracy, consistency and efficiency in coding for reimbursement, compliance and reporting purposes.
4. Reviews medical records to determine eligible medical services to be billed to insurance providers or other federal or state health programs.
5. Supervises the clinical billing and coding staff to include hiring, termination, discipline, performance evaluations, and training of employees. Leads work groups to study changes in practices, supervises, trains and evaluates the clinic experiences of interns/ students in health-related programs as needed.
6. Assures timely and accurate processing of bills to Medicare, Medicaid, private payer, and private insurance companies in accordance with payer requirements, and Agency policy.
7. Develops time sensitive education, trains and provides guidance on proper documentation of care provided to healthcare professionals. Creates forms as needed to ensure compliant documentation for billing to federal and state payers.
8. Maintains current knowledge base to ensure that the providers and facilities are up to date with federal and state mandates regarding documentation, billing and payment procedures. Disseminates this information in meaningful ways to providers and staff. Conducts audits to ensure compliance.
9. In conjunction with other staff, ensure access to electronic health records is at the minimal level necessary for staff to perform duties.
I 0. Appeals denied claims, provides training to staff and clinical professionals regarding billing functions. Identifies areas of non-compliance in documentation, coding and revenue cycle data collection to improve claim payment processes.
11. Audits medical records for qualitative and quantitative analysis relative to established criteria to ensure completeness, accuracy and internal consistency related to coding and billing practices.
12. Communicates with clinical staff to ensure medical record documentation standards are met to achieve optimal AR collections.
13. In collaboration with other staff or contracting agencies assists in credentialing processes for clinical staff.
14. Assists with performance improvement staff in preparation for and during surveys.
15. Coordinates and compiles report for special studies at the request of administrators, physicians, and other staff. Answers correspondence and responds to request for information concerning departmental needs
16. Other duties as assigned
- Bachelor's degree in Health information Management, or related field, and background in billing desired.
- An Associate degree in Health Information Management or related field with supervisory experience and background in billing and coding required.
- Medical Coding Certification (CPC) or Certified Coding Specialist (CCS)
- Registered Health Information Technician (RHIT) credentials
- Registered Health Information Administration (RHIA) credentials and/or AAPC/AHIMA certification, and/or training certification a plus
Planning, prioritizing, and organization work assignments and operational functions, maintaining accurate records, compiling and presenting information to various levels of staff, evaluating the impact of changes in medical record documentation practices and licensure requirements.
Ability to communicate effectively with professional medical staff, facility operations staff, patients, and insurance representatives, maintain confidentiality and security of medical records. Manage health information operations, analyze and verify appropriateness, timeliness, completeness and accuracy of data and data sources.