Certified Coder

Department: Business Office

Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635

Hours: Full Time; Hours: Monday - Thursday: 8:00 am-5:00 pm, Friday: 8:00 am - 4:00 pm.

Good enough isn’t for us. The South Bend Clinic's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.

The South Bend Clinic works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!

Holistic benefits designed to help our team members flourish in all aspects of their lives, including: 

• Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Pet health coverage
• $5,250 Tuition Reimbursement per year. 
• 40 hours paid volunteer time off. 
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact
• 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 
• 401(k) Match
• Profit-sharing program 

• Audits medical record documentation to identify incorrectly coded services; prepares reports of findings.   
• Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
• Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials and billable services.
• Analyzes and interprets complex patient medical records to identify and determine amount and nature of billable services, in any clinical area.
• Ensures strict confidentiality of financial and medical records.
• Attends coding conferences and workshops to receive updated coding information and changes in coding and/or regulations.
• Follows established departmental policies, procedures and objectives, compliance objectives safety and environmental standards.
• Performs miscellaneous job-related duties as assigned.

Education/Certification/License: 

High School graduate or GED equivalent is required.  Must be certification eligible via AAPC or AHIMA.

Knowledge, Skills, and Abilities:

     Prior experience directly related to the duties and responsibilities specified is preferred.  Knowledge of medical terminology and medical coding.  Knowledge of patient care charts and patient histories.  Knowledge of legal and policy constraints pertaining to patient billing.  Knowledge of auditing concepts and principles.  Computer literacy as well as knowledge of Microsoft Outlook, Excel and Word.  Ability to analyze and problem solve.  Ability to gather data, compile information and prepare reports. Ability to communicate effectively, verbally and in writing.   Ability to provide guidance and coding support to employees in any clinical area.    Ability to work with staff to successfully implement new coding policies and procedures in any clinical setting as well as formulate training materials.  Ability to communicate technical information to non-technical personnel.  Ability to assess provider compliance with billing regulations and define areas in which additional training is required to meet standards.  Ability to use independent judgment to manage and impart confidential information.