At Blackbird Health our commitment is to provide precision care, with powerful outcomes for children, adolescents and young adults struggling with social, developmental, and school related challenges. We believe that our youth deserve the very best care, not only for their physical health but also their mental health. Through an integrated community-centered care approach, our skilled clinical team delivers exceptional virtual and in-person care across a wide range of specialties. If you're excited to work for a mission-driven company that values compassion, dedication, and a holistic approach to care, Blackbird Health is a great place to advance your career.

Under the direction of the Sr. Billing Manager, the Certified Coder will review and provide feedback on coding usage, accuracy, opportunities, and documentation. The Certified Coder will also work with insurance and patients to assist with claim resolution and accounts receivable management.

WHY WORK WITH US:

• Comprehensive benefits package: medical and dental coverage is available on day 1 of employment
• 401k (with a company match)
• Employer-paid life insurance coverage
• Paid Time Off
• Excellent administrative support is provided
• Explore your career advancement potential by receiving opportunities to grow with tenure
• Supportive work culture
• Blackbird Health is made up of intelligent, humble, compassionate, and hardworking people. Joining the ranks means you'll have an automatic network to turn to for best practices, professional development, and opportunities to share your expertise

ESSENTIAL FUNCTIONS:

• Review provider documentation and coding for accuracy (CPT, Dx, Up-coding, Down-coding, Modifiers, documentation)
• Provide feedback to RCM and Clinical leadership regarding coding opportunities in a professional and organized manner
• Provide annual coding updates that impact providers and clinicians
• Work with insurance companies, payers, and other third parties to ensure timely submission and correct payment on claims
• Contact payers and/or patients to obtain the required information to resolve claim issues and denials
• Review EOBs and payments to ensure the correct processing of claims
• Review and process insurance and patient refunds
• Work to establish a formal provider audit process
• Field and resolve patient billing inquiries received through multiple channels including telephone, email, and portal messages, among others
• Other duties as assigned

REQUIREMENTS:

• Coding certification required
• 3-5 years coding experience in mental/behavioral health setting preferred
• 3-5 years experience required working with EHR/RCM software, working and resolving insurance claim issues (A/R), payment posting, and patient outreach

KNOWLEDGE/SKILL

• Experience providing direct feedback to providers and clinicians on coding opportunities
• Ability to maintain confidentiality according to HIPAA regulations
• Outstanding communication skills and ability to collaborate effectively with patients, provider partners and colleagues
• Open to professional and clinical feedback and interested in working in a supporting and collegial environment.
• Flexibility to adjust to a dynamic work environment.
• Must value operating in a collaborative and cooperative environment.
• Ability to show initiative, good judgment, and resourcefulness.

*The target range for this position is $50,000-$70,000. Individual pay may vary from the target range and is determined by a number of factors, including certification, experience, location, internal pay equity, and other relevant business considerations .

FOSTERING AN INCLUSIVE ENVIRONMENT:

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type.