Certified Coder

University Of Maryland Medical System • Baltimore, MD

126d

About The Position

The position involves performing functions such as reviewing documentation and selecting the appropriate procedure and/or diagnosis code to be entered in billing documents. The individual ensures that teaching physician requirements are met and are clearly reflected in the documentation, along with 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 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.

Benefits

• Total rewards package that supports employees' health, life, career, and retirement.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED