Certified Billing & Coder

InnovaCare•Orlando, FL

About The Position

Orlando Family Physicians, LLC It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Responsible for providing coding services on all diagnosis and maintains a professional relationship with the Managers and Providers.

Requirements

Certified Professional Coding Certificate (preferable)
At least two years of Billing and Coding experience in Primary Care or Internal Medicine
Electronic Medical Records (E-Clinical Works preferred)
Thorough knowledge of CPT & ICD -10 coding, medical compliance, HIPPA, claim formatting issues that cause payment errors, and medical insurance follow up
Computer proficiency, specifically Excel and Windows
Strong organization and communication skills in order to interact effectively with others in the medical field
Self-motivated to deliver results
Work independently
Work collaborative on projects
Create channel of communication to obtain information necessary to perform job tasks, such as with payers, clinical staff, and billing department staff
Ability to recognize individual and system problems and to communicate such information to Management/ Supervisor
Excellent written and verbal communication skills
Attention to detail and time management skills

Responsibilities

Audits records to ensure proper submission of services prior to billing on pre-determined charges
Receives proper progress notes to properly bill provider services for services provided to patients
Supplies correct ICD-10 CM diagnosis codes on all diagnosis provided
Supplies correct HCPCS code on all procedures and services performed
Supplies correct CPT code on all procedures and services performed
Coding claims 100-150 a day
Contacts providers to train and update them with correct coding information
Remain current on coding issues
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and State regulatory bodies
Determines the final diagnosis and procedures stated by the physician are valid and complete
Qualitative analysis- evaluates the record for documentation consistency and adequacy.
Ensures that the diagnosis reported accurately reflects the care and treatment rendered.
Analyzes provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code
Performs other related duties, which may be inclusive, but not listed in the job description