About The Position

Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes.

Requirements

  • 3 years- Medical billing preferred
  • 3 years- Extensive experience in physician coding preferred
  • EPIC experience 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 as stated by physicians or other healthcare providers.
  • Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing.
  • Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
  • Communicate with Special Billers and Charge Follow-Up Coordinator to address insurance billing questions.
  • Review and correct charge review edits to ensure accuracy and completeness.
  • Review records to verify proper submission of services prior to billing on selected charges.
  • Maintain compliance standards in accordance with internal compliance policies and report compliance issues appropriately.
  • Collaborate effectively with other clinical areas and staff to support smooth workflow and communication.
  • Perform coding work requiring independent judgment with a high level of timeliness and accuracy.
  • Perform other related duties as assigned.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

1-10 employees

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