Certified Coder-Medicine

University of Maryland Faculty Physicians • Baltimore, MD

6d

About The Position

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. ESSENTIAL FUNCTIONS Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines. Ensures that teaching physician documentation and billing requirements are met and are clearly reflected. Review provider coding and provide training and feedback on coding questions and issues. Assists billing and collections staff with denials and charge correction requests as needed. Resolves coding TES edits. Continually refreshes and applies knowledge of government regulations as they relate to coding and billing Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties as assigned. Specific duties and responsibilities may vary based upon departmental needs

Requirements

• High school diploma or general education degree (GED) preferred
• Certified Professional Coder certification required
• Level and years of experience based on departmental needs
• Extensive knowledge of CPT and ICD-10 coding
• Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines
• Understanding of: the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements.

Responsibilities

• Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines.
• Ensures that teaching physician documentation and billing requirements are met and are clearly reflected.
• Review provider coding and provide training and feedback on coding questions and issues.
• Assists billing and collections staff with denials and charge correction requests as needed.
• Resolves coding TES edits.
• Continually refreshes and applies knowledge of government regulations as they relate to coding and billing

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees