CODER/MEDICAL BILLING SPEC

Premier Health • Moraine, OH

1d

About The Position

To assign diagnosis and procedure codes according to provider documentation adhering to the official coding guidelines set forth by the AMA, ICD-10-CM, AHIM, CMS, and HCFA. Position may also require management of accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies.
The Coder/Medical Billing Specialist is responsible to assign and report these more specified codes from clear and concise provider documentation. The Coder/Medical Billing Specialist interfaces routinely with physicians, managers, and office staff to insure documentation is clear and consistent, to maintain a continuous flow of information processing. The Coder/Medical Billing Specialist is responsible to insure providers are notified of addendums to documentation as needed to insure accurate and timely processing of all third party billing (claims). The Coder/Medical Billing Specialist’s responsibilities may also include all system documentation, adjustments, charge and payment entry as required until collection or final disposition of the account balance is resolved. The Coder/Medical Billing Specialist performs daily, monthly and special system processing requirements.

Requirements

• Minimum High School diploma or equivalency certificate
• Minimum of one year physician coding experience in conjunction with formal education in coding, (CPC, AHIM, RMC, CPC, CCS-P); or AB, AS from accredited college in Healthcare, which includes coding, medical terminology, and medical systems), medical terminology and/or anatomy; and/or a minimum of three years demonstrated coding “from physician documentation” experience.
• A minimum of three years previous healthcare billing, collections experience, and/or managed care experience.
• Knowledgeable about third party billing regulations and CPT/ICD coding.
• Demonstrate accurate and timely data entry skills.
• Familiar with various computer applications (ex: Microsoft Word, Excel, and billing software systems).
• Proven record of dependability
• Strong people, communication and decision making skills.
• Must pass a basic CPT and ICD coding test prior to hire, if coder has no credentials.

Nice To Haves

• Knowledge of spreadsheet applications preferred.

Responsibilities

• Assign diagnosis and procedure codes according to provider documentation.
• Adhere to official coding guidelines.
• Manage accounts receivable for timely and maximum reimbursement.
• Interface with physicians, managers, and office staff.
• Ensure providers are notified of addendums to documentation.
• Perform system documentation, adjustments, charge and payment entry.
• Perform daily, monthly and special system processing requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED