MEDICAL CODER III - FULL TIME
About The Position
This role requires the ability to plan and prioritize workflow to produce an acceptable volume of work accurately. The Medical Coder III must possess strong analytical and research capabilities to review physician and nurse documentation. Good problem-solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff are essential. The position involves reviewing and editing charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. It also includes reviewing and printing charges for data verification for E&M services, and reviewing, editing, and exporting MedAptus charges daily to encompass all charges in prior months. The coder will communicate coding changes and/or questions to Physicians’ offices to appropriate staff, monitor uncharged encounters in MedAptus, and send notices to Physician offices on missing charges. Daily review of ETM charges and auto-exported charges is required, with necessary changes made to release charges to the billing system. Staying informed and up-to-date on coding issues by attending seminars and possessing a comprehensive understanding of carrier-specific, State, or Federal billing guidelines is crucial. The role also requires consistently staying within the department goal for lag time for productivity accountability.
Requirements
- High School Graduate or Equivalent.
- Must be a certified coder either through AAPC or an equivalent organization.
- Certificate of ICD-10 proficiency required.
- 5 or more years of experience in the medical coding field.
- Good knowledge of medical terminology, anatomy, diagnosis and procedure codes.
- Minimal of CPC or COC with a specialty certification from the AAPC or equivalent organization.
Responsibilities
- Plan and prioritize workflow and produce an acceptable volume of work accurately.
- Review physician and nurse documentation.
- Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties.
- Review and print charges for data verification for E&M services.
- Review, edit, and export MedAptus charges daily to encompass all charges in prior months.
- Communicate coding changes and/or questions to Physicians’ offices to appropriate staff.
- Monitor uncharged encounters in MedAptus and send notices to Physician offices on missing charges.
- Review ETM charges on a daily basis.
- Review auto exported charges at the end of the day and make necessary changes to release charges to billing system.
- Stay informed and up to date on coding issues by attending seminars.
- Possess a comprehensive understanding of carrier specific, State or Federal billing guidelines.
- Consistently stay within department goal for lag time for productivity accountability.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
