Coder I - PFS Billing Department - FT M-F

GIBSON AREA HOSPITAL•Gibson City, IL

11d•$25 - $32•Onsite

About The Position

The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve.

Requirements

Work requires knowledge of CPT, ICD-10, and HCPC codes.
Must hold a current unexpired CPC or CCS certification from the AAPC, NHA, or AHIMA.
2 years of previous experience with medical coding for a multi-specialty office or hospital system.
Knowledge of Medical Terminology.
Familiar with the Legal and Ethical Compliance with medical coding.
Previous experience in the policy and procedures of medical coding.
Requires analytical skills to evaluate medical charts and records.
Good communication skills to assist with coding questions and concerns from colleagues.

Responsibilities

Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes.
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Knowledge and understanding of how to properly code using medical coding books.
Follow up with the provider on any documentation that is insufficient or unclear.
Ensure that all codes are current and active.
Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received.
Adequately responds to coding questions and provide clarification to colleagues.
Develops and maintains appropriate communication with clinics.
Appropriately refers all non-routine issues to management for clarification.
Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing.
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.