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CERTIFIED MEDICAL CODER

CERTIFIED MEDICAL CODER

PSN Services LLCPlano, TX, US
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Job Description

Job Description

About Legent Health

At Legent Health , our mission is simple yet profound : “To provide first-class health care that puts YOU first.”

Our vision reflects our commitment to excellence : “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.”

Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do :

  • Respect : We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
  • Service : We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
  • Leadership : We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.

Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.

About the Role

The Certified Medical Coder is responsible for translating healthcare providers’ diagnostic and procedural phrases into coded form. The Certified Medical Coder reviews and analyzes health records daily to ensure correct coding.

POSITION’S ESSENTIAL RESPONSIBILITIES :

  • Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT code.
  • Assists billing staff establish the medical necessity of charges.
  • Provides feedback to the clinical staff on coding issues and reviewing denials.
  • Provides training to each provider regarding errors identified and corrected.
  • Obtains necessary clarification of information on the notes and charts.
  • Provides weekly trending reports by provider to COO or designated administrator : regarding coding errors, coding changes, missing information from charts, etc.
  • Monitors and audits proper diagnosis code with appropriate CPT code for billing purposes.
  • Ensures that all medical records have been signed by the appropriate parties.
  • Evaluates medical records for documentation consistency and adequacy.
  • Reviews appropriate medical codes to all diagnoses or services.
  • Enters and organizes the codes into management software.
  • Reviews records for compliance with established third-party reimbursement agencies and special screening criteria.
  • Assists providers with coding procedures to ensure correct billing.
  • Participates with other staff to follow up on accounts until no balance or turned over for collection. Completes coding projects as needed.
  • Attends various meetings and professional development programs as required.
  • Manages billing as needed.
  • All other duties as assigned

    • EDUCATION AND EXPERIENCE REQUIREMENTS :

  • High School Diploma or GED required.
  • Certified Professional Coding (CPC) certification preferred or equivalent.
  • 2-3 years of experience in ASC coding and insurance billing required.
  • Knowledge of the ICD-10, ICD-9, and CPT- / HCPCS universal coding systems.
  • Knowledge of coding and clinic operating policies.
  • Knowledge of insurance carrier coding requirements to ensure proper coding based on License and specialty.
  • Strong computer skills in MS Office / Windows (Word and Excel required).
  • Knowledge of Medical terminology.
  • Knowledge of third-party billing procedures across a variety of payer systems.
  • Knowledge of billing and financial concepts.

    • Why Join Legent Health?

    Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture.

    We Offer :

  • Competitive salary and performance incentives
  • Comprehensive benefits package
  • Paid time off and wellness programs
  • Career development and training opportunities

    • Equal Employment Opportunity (EEO) Statement

    Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic.

    I-9 and E-Verify Compliance :

    Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.

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    Certified Medical Coder • Plano, TX, US