SPH Careers 2023-posted 4 months ago
Helena, MT

The position involves assigning ICD-9 and CPT codes to clinic office visits, hospital, lab, and x-ray tickets in an accurate and timely manner, ensuring compliance with all applicable guidelines and regulations. The role includes entering office visit charges into the system and monitoring the progress of claims, resolving denied claims due to coding issues, and reconciling daily charge entry system batches to ticket totals entered. Additionally, the candidate will review the outstanding encounters list weekly and resolve those outstanding items. Conducting audits of physician medical documentation and coding as assigned is also part of the responsibilities, along with other duties as assigned.

  • Assign ICD-9 and CPT codes to clinic office visit, hospital, lab, and x-ray tickets.
  • Enter office visit charges into the system and monitor the progress of claims.
  • Resolve denied claims due to coding issues.
  • Reconcile daily charge entry system batches to ticket totals entered.
  • Review outstanding encounters list weekly and resolve those outstanding.
  • Conduct audits of physician medical documentation and coding as assigned.
  • Perform other duties as assigned.
  • Knowledge of ICD-9-CM and CPT coding guidelines.
  • Knowledge of anatomy and physiology, medical terminology, and disease processes.
  • Approximately three to five years work experience in medical coding preferred.
  • Working knowledge of medical terminology, coding, and insurance language.
  • Successful completion of advanced healthcare course work preferred.
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