Coder I, Professional Srvc

Emory•Decatur, GA

6d•Hybrid

About The Position

Be inspired. Be valued. Belong . At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be . We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Part Time, hybrid Description RESPONSIBILITIES: This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: This position is accountable for the performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department. Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture, management of patient financial information (registration/insurance, referrals, pre-certs, etc.), and collection of patient service revenue. This position reports to the Supervisor or Manager, Revenue Cycle Operations. Employee may be responsible for other duties as assigned. CODING DENIALS SPECIALIST: The primary focus of this position will be to review and resolve all daily coding related denials based on coding/billing guidelines. The job role is accountable for edit maintenance and resolution, denial resolution, charge correction and special projects in order to optimize the revenue collections for the Department. Research and resolve all outstanding coding related denials with work queues/coding specialties and complete all necessary follow-up within a timely and accurate manner. The job role is responsible for communicating all denial trends and denial increases directly to supervisor/manager in order to positively affect the volume of denials. This position reports to the Supervisor or Manager, Coding Denials Management. Employee may be responsible for other duties as assigned.

Requirements

High school diploma or equivalent
one (1) year of experience in healthcare related field; OR 6 months of professional coding experience
Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CPC-A, CPC, or CCA, CCS, CCS-P, RHIT
working knowledge of medical terminology, anatomy, and physiology
ability to read, analyze, and interpret general business periodicals, technical procedures, or governmental regulation
must be able to write business correspondences effectively and professionally
must be capable of presenting verbal information and respond to questions from groups of managers, clients, customers (physicians) and the general public

Nice To Haves

GE Centricity experience preferred

Responsibilities

reviewing physician documentation, CPT, HCPCS & ICD10-CM coding
performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department
Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture, management of patient financial information (registration/insurance, referrals, pre-certs, etc.), and collection of patient service revenue
review and resolve all daily coding related denials based on coding/billing guidelines
accountable for edit maintenance and resolution, denial resolution, charge correction and special projects in order to optimize the revenue collections for the Department
Research and resolve all outstanding coding related denials with work queues/coding specialties and complete all necessary follow-up within a timely and accurate manner
communicating all denial trends and denial increases directly to supervisor/manager in order to positively affect the volume of denials