Ambulatory Pro Fee Coder

Hunt Regional Healthcare•Greenville, TX

2d•Remote

About The Position

This position is responsible for coding ambulatory professional encounters. All accounts should be completed within three (3) days following completion and authentication by the provider.

Requirements

Completion of college level coursework in Medical Terminology and Anatomy and Physiology.
CPC credentials (Certified Professional Coder)
Will work onsite and/or remotely from home; must reside in the state of Texas.
Must be able to work in a virtual setting.
Primarily sedentary work reviewing records and keying information using a computer monitor and keyboard.
Quiet surrounding with adequate lighting.

Nice To Haves

A minimum of one (1) year coding experience in a clinical setting.
A basic working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs.
Minimum education level of Associates Degree.

Responsibilities

Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
Attends the required corporate integrity and compliance training and education programs.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Complies with all HIPAA standards.
Consistently meets monthly productivity expectations.
Responsible for final coding of ambulatory professional encounters with an average turnaround time of three (3) business days.
Responsible for accurately assigning ICD-10-CM and applicable CPT codes based on information provided in the patient record, while maintaining an overall coding accuracy rate of 95% or greater.
Responsible for responding to any audited accounts within three (3) business days of receipt.
Responsible for responding to Patient Financial Services (PFS) questions regarding coding assignments that generate errors within the billing editor within three (3) business days of receipt.
Communicates with provider and clinical staff to obtain additional documentation as needed to clarify correct assignment of ICD-10-CM diagnosis and CPT procedure code assignment.
Responsible for completing continuing education requirements to maintain coding credential. Must obtain a minimum of ten (10) continuing education units per year.
Assists with other special projects as requested by the Pro-Fee Coding Team Lead and/or the HIM Department Director.