Certified Coder - OB/GYN

University of Maryland Faculty Physicians • Baltimore, MD

48d

About The Position

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned.

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
• 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.
• Performs internal pre-pay audits based on compliance guidelines when required.
• Communicates with physicians about coding questions and issues.
• Attends physician meetings to provide education on documentation / coding issues when required.

What This Job Offers

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