Medical Coder & Biller

About Indigenous Pact PBC, Inc: 

Established in 2017 Indigenous Pact PBC, Inc., a certified B-Corporation, set out on a mission to create health equity for American Indians and Alaskan Natives. As part of a global movement of certified B-Corporations, we aim to balance purpose and profit by meeting the highest social, environmental, legal, and public standards to build a more sustainable and inclusive economy.  

Indigenous Pact’s dedicated, experienced, and knowledgeable team brings decades of experience working in Indian Country. We help strengthen and improve the sustainability of Tribes and Tribal Organizations' health, wellness, and long-term care programs and services. Indigenous Pact specializes in developing customized and turn-key solutions to generate sustainable revenue, increase healthcare access, and improve health outcomes for all Native Americans.   

Job Description 

Job Title: Medical Coder & Biller 

Base Salary: 48K 

Work Model: Remote 

Job Summary: 

The Medical Coder & Biller will assist in both coding and billing of claims.  The Medical Coder & Biller has responsibilities in billing, reimbursement, insurance follow-up, and coding including assigning required Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).  In addition, is responsible for analyzing patient data for accuracy, service quality and insurance. 

Essential Job Functions: 

Billing 

• Denial and insurance follow-up are achieved within the performance standards. 
• Posting of accurate payer payments in timely and accurate fashion.
• Knowledge of reimbursement practices, CMS, HIPAA and other governmental regulations, rules, and policies as it pertains to billing and collections.
• Proficient with various computerized applications and billing software (SAMMS, Kipu and/or RPMS preferred)
• Reports to Director of Revenue Cycle Services but collaborates with both Coding Lead and Director of Revenue Cycle Services to ensure seamless claims from EMR to claim payment.  

Coding 

• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes; identifies diagnostic and procedural information. 
• Accurate coding of ICD10CM, HCPCS, and CPT codes for claims including but not limited to also assigning POS, modifiers etc.
• Assigns accurate codes per documentation given.
• Assist on other projects as assigned by DoRCS or Coding Lead.
• Demonstrate values such as fostering collaboration and providing a positive, motivating environment.
• Must possess excellent customer relations and communication skills.
• Professionalism, confidentiality, and organizational skills
• Ability to work well with limited supervision.
• This is a remote position but must be willing to travel on a limited basis, as needed. 

Position Requirements: 

• Minimum 3+ years’ experience in healthcare billing and coding.
• Active Certified Coding Credential (CCS, CCS-P, CCA, RHIT, RHIA or CPC) and additional HIM experience. RHIT/RHIA with 5+ years’ experience in coding also acceptable
• Associate degree in healthcare administration, or a related field, or a combination of education and experience.
• Minimum 3+ years’ experience working with Third Party Payers to resolve reimbursement issues.
• Knowledge of reimbursement and billing requirements and regulations.
• Microsoft Office, Electronic Medical Record, Excel, Word, Power Point experience
• Professionalism, confidentiality, and organizational skills
• Demonstrate values such as fostering collaboration and providing a positive, motivating environment.
• Must possess excellent customer relations and communication skills.
• Must work well with limited supervision.
• Previous medical office experience preferred.
• Previous medical billing and claim resolution experience are preferred.
• Professionalism, confidentiality, and organizational skills
• Strong attention to detail; problem solving, as well as administrative skills are essential.
• Excellent verbal and written communication  
• Organizational skills and basic record-keeping helpful
• This is a remote position but must be willing to travel on a limited basis, as needed.
• Must have high speed internet access.
• Demonstrates the IP Mission, Vision and Care Commitments in behaviors, practice, and decisions.  

Other Requirements:  

All employees are required to maintain confidentiality as related to patient information. Employees are required to follow the acceptable use policy while using any information systems owned or controlled by Indigenous Pact PBC, Inc. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense. Security roles and responsibilities include: 

• Implementing and acting in accordance with the organization’s Billing policies.
• Protecting assets from unauthorized access, disclosure, modification, destruction, or interference.
• Executing particular security processes or activities.
• Ensuring responsibility is assigned to the individual for actions taken.
• Reporting security events or potential events or other security risks to the organization 

Why Choose Indigenous Pact? 

Building a strong culture and exhibiting our core values is important to us. We have shared below characteristics that are important to us (and we hope you bring them as well) and what we offer at Indigenous Pact beyond the job opportunity! 

Characteristics of Indigenous Pact Employees: 

• Native-Centered: Seeks to understand and effectively address the needs, challenges, and opportunities faced by American Indian Alaskan Native communities
• Quality-Focused and Accountable: Takes ownership and works in collaboration with Indigenous Pact team members in utilizing “best practices” to deliver high-quality and on-time, and follow through on commitments. 
• Healthcare-focused: You have experience/exposure in the healthcare industry and an interest in advancing healthcare initiatives for those that we serve 
• Trustworthy: You handle all information with the utmost confidentiality and conduct your daily activities in a professional manner with integrity. 
• Resilient and Adaptable: Ability to thrive and navigate in a fast-paced environment with optimism and pivot to the changing needs of the business, while remaining focused.
• Growth Mindset: You have a belief that abilities can be developed along with a desire to be curious, learn & grow, and you share that learning with others 
• Collaborative: You enjoy working cross-functionally and connecting with people toward a shared vision and goal.
• Effective Communication: You are a storyteller. You bring exceptional communication skills and can convey complex information clearly and persuasively. 
• Strategic and innovative thinker: You are always looking for new ways to improve processes and drive the organization forward.
• Detail-oriented: Must have meticulous attention to detail and organized  
• Self-motivated: Must be a highly motivated, self-starter with the ability to work independently
• Awareness: An ability to understand how your attitudes & actions impact others and  ensure you are respectful in all your interactions 

What we offer: 

• Unlimited paid time off to cultivate personal and professional balance
• Competitive benefits including 401(k), Medical, Dental, and Vision insurance
• Open, transparent lines of communication with leadership  
• Committed to giving back to improve our communities and environmental impact
• A development-focused environment where you have autonomy to drive your career path 

Indigenous Pact is an equal opportunity employer and we are dedicated to fostering an inclusive and barrier-free work environment for all employees and candidates. Preference will be given to qualified native applicants; however, all qualified individuals are encouraged to apply. Must be able to provide Indian Preference documentation if claimed. If accommodation is required during any stage of the recruitment process, please contact any member of our HR team. We thank all applicants for their interest; however, only those selected for interviews will be contacted.