Job Description

Behavioral Health Coder/Billing Specialist

Job purpose
Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, and authorizations and, above all, a great passion for helping individuals obtain treatment. The Behavior Health coder/Billing Specialist works with the Billing and Behavior Health departments ensuring all claims are reviewed for accurate documentation, submission and reimbursement Duties and responsibilities
The Behavior Health Coder/Billing Specialist maintains the professional reimbursement and collections process for the Behavior Health Program.

Typical duties include but are not limited to:
 Reviews medical record documentation to determine appropriate ICD-10-CM/CPT codes and modifiers in accordance with official coding guidelines.
 Codes in accordance with coding and departmental guidelines. Maintaining no less than 93% accuracy in choice of codes, as observed in quarterly auditing.
 Prepares by review the submission of clean claims to various insurance companies
 Including but not limited to; carrier, guarantor, place of service and servicing provider
 Work claims and claim denials to ensure maximum reimbursement for services provided
 Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet daily metrics.
 Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures.
 Perform other related duties that may be inclusive, but not listed on the job description

 Minimum of a High School Diploma or GED and 1 year of experience in a medical setting.
 A Certified Professional Coding (CPC) certificate through AAPC or other national recognized agency is required.
 The ideal candidate will have 1-2 years of Behavior Health billing and documentation review experience;
 Federally Qualified Health Centers is helpful.
 The selected candidate will have the ability to work in a team environment or independently; to meet all established deadlines, metrics and assignment goals at all times and have oral and written proficiency in English. Bi-lingual in English and Spanish is highly preferred.
 He/she must be able to use computer and multi-lined telephones;

Direction of Others

How to Apply

Fair Haven Community Health Care New Haven