About The Position

The position involves reviewing, analyzing, and assigning final diagnoses and procedures based on the documentation provided by practicing providers, ensuring adherence to compliance policies and guidelines. The role requires accurate coding of office and hospital procedures to facilitate reimbursement. Additionally, the position includes providing education to physicians regarding the proper completion of Electronic Health Records and the correct assignment of ICD-10-CM, HCPCS, and CPT codes through various communication methods including verbal, physical, and written forms.

Requirements

  • 3 years of medical billing experience - Preferred
  • 3 years of extensive experience in physician coding - Required
  • Experience with medical management information systems and medical software - Required
  • High School Diploma - Required
  • Certified Professional Coder (CPC) - Required at time of hire

Responsibilities

  • Review clinical documentation and code to the highest level of specificity for accurate charge capture.
  • Interact with providers to provide feedback and education utilizing physical, verbal, and written communication skills.
  • Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed.
  • Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
  • Communicate with Physicians, other business group personnel, clinical areas, and staff regarding coding-related questions.
  • Manage coding-related edit work queues.
  • Prepare documentation audits with written results and trend data, presenting the results to the Provider, Department Chairman, and/or Compliance Officer.
  • Maintain compliance standards in accordance with internal compliance policies and report compliance issues appropriately.
  • Identify and account for missing charges and/or documentation.
  • Perform coding work requiring independent judgment with timeliness and accuracy.
  • Complete all other duties as assigned.

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What This Job Offers

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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