Patient Financial Services - Coder I FT

GIBSON AREA HOSPITAL•Gibson City, IL

1d•$25 - $32•Onsite

About The Position

The PFS Medical Coder translates healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. The coder assigns and verifies codes that accurately describe the services patients received and ensures they are applied correctly during billing, from reviewing documentation and assigning codes to preparing claims for insurance carriers. The role works with the hospital, clinics, and physician offices to provide professional healthcare services to the communities served. This is a full-time position at Heartland Bank in Gibson City, Illinois, scheduled for 40 hours per week, Monday through Friday, from 8:00 a.m. to 4:30 p.m. The role reports to the Director(s) of Patient Financial Services.

Requirements

Current, unexpired CPC or CCS certification from AAPC, NHA, or AHIMA.
Two years of previous medical coding experience in a multi-specialty office or hospital system.
Knowledge of CPT, ICD-10, and HCPCS codes.
Knowledge of medical terminology.
Familiarity with legal and ethical compliance in medical coding.
Previous experience with medical coding policies and procedures.
Analytical skills to evaluate medical charts and records.
Good communication skills to assist colleagues with coding questions and concerns.
Competence using PC keyboards, calculations, copy machines, printers, and other office equipment.
Visual acuity to observe and obtain information and use documentation.
Auditory acuity to hear others for fluent communication.
Ability to perform light physical activities, including lifting, standing, and sitting at a workstation for up to four hours at a time; lifting 10 pounds from floor to waist, waist to shoulder, and shoulder to overhead; and carrying 10 pounds for 15 feet.

Responsibilities

Assign diagnosis and procedure codes using ICD-10, CPT, and HCPCS codes.
Ensure codes are accurate, correctly sequenced, and compliant with government and insurance regulations.
Use medical coding books and maintain knowledge of proper coding practices.
Follow up with providers when documentation is insufficient or unclear.
Ensure all codes are current and active.
Take appropriate, accurate, and timely follow-up action on denials and rejections.
Respond to coding questions and provide clarification to colleagues.
Develop and maintain appropriate communication with clinics.
Refer non-routine issues to management for clarification.
Re-code and reprocess denials and rejections, exploring available avenues to resolve issues with insurance payers.
Work professionally, courteously, and respectfully with fellow staff.
Monitor CPT codes and diagnoses to ensure they are coded correctly before billing.
Perform other duties assigned by the Director of PFS or Executive Director of Revenue Cycle.