About The Position

The position involves reviewing, monitoring, and controlling charge capture and documentation. The individual will provide on-site physician feedback for coding and documentation practices, assisting physicians with documentation and billing compliance guidelines.

Requirements

  • 3 years of medical billing experience preferred.
  • 3 years of extensive experience in physician coding preferred.
  • High School Diploma required.
  • Certified Professional Coder (CPC) required.

Responsibilities

  • Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.
  • Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.
  • Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
  • Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.
  • Reviews and corrects charge review edits.
  • Reviews records to ensure proper submission of services prior to billing on selected charges.
  • Maintains compliance standards in accordance with internal compliance policies.
  • Reports compliance issues appropriately.
  • Works in cooperation with other clinical areas and staff.
  • Performs coding work requiring independent judgment with timeliness and accuracy.

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What This Job Offers

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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