Certified Medical Coder

External Brand•Austin, TX

About The Position

Responsible for maintaining accurate billing data in the medical record by assigning and providing medical codes for diagnoses and procedures, as well as identifying medical documentation and reviewing concerns for quality purposes. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

Requirements

High school diploma or GED.
1 year or more of experience working in the office of a healthcare related facility.
Experience using a PC in a Windows environment.
Proficient in at least one of the following areas: CBO Site Requests, CRWQ, Hospital Tickets or Referrals.
Excellent verbal and written documentation and communication skills.
Knowledge of medical terminology
Familiarity with procedural and diagnostic coding.
Familiarity with ICD and CPT coding methodology.
Knowledge of medical insurance, collections, and appointments.
Keyboarding ability.
Excellent customer service skills.
Excellent computer and keyboarding skills, including familiarity with Windows.
Excellent interpersonal and problem solve skills.
Ability to work in a team environment.
Ability to manage competing priorities.
Ability to engage others, listen and adapt response to meet others’ needs.
Ability to perform job duties in a professional manner at all times.
Ability to align own actions with those of other team members committed to common goals.
Ability to understand, recall, and communicate, factual information.
Ability to understand, recall, and apply oral and/or written instructions or other information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.
Certification as a Certified Professional Coder or other certified coding certificate through AAPC.
Must maintain coding certification.
Must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan.

Nice To Haves

Experience working with ICD-10 and CPT coding.

Responsibilities

Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
Researches and resolves problems with patient accounts in work queues.
Assists physicians and providers on coding questions or concerns.
Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
Performs charge entry functions.
Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
Serves as a resource for other Business Office staff.
Supports compliance policies with government and private payer regulations.
Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
Active participant in development and maintenance of all work queue edits.
Follows the core competencies set forth by the Company, which are available for review on CMSweb.
Researches and resolves problems with patient accounts from site requests.
When working in the charge review work queue, responsible for following workflows consistent with the policies of the Compliance Plan.
Obtains insurance eligibility and benefit details.
May review records for completeness, accuracy and compliance with regulations
Works with the providers to communicate coding issues and submit adjustment journals as needed.
Performs other duties as assigned.