Physician Billing Coder

Ephraim McDowell Health•Danville, KY

4d•Hybrid

About The Position

Under the direction of the System Director of Health Information Management, this role monitors coding and reimbursement activities with respect to the EMHR clinics. Codes are to be used for diagnosis, procedure and physician indexing, statistics, trend analysis and reimbursement purposes. The position requires exhibiting the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust).

Requirements

One year of coding experience or charge entry experience required.
In-depth knowledge of coding practices and third-party payor requirements.

Responsibilities

Reviews and analyzes codes submitted from physicians, applying the appropriate ICD-10-CM code and/or CPT code to clinic charts by abstracting pertinent information from patient records and applying coding guidelines.
Uses the encoder to ensure appropriate codes and modifiers have been applied and reviews all edits within the encoder to resolve any delays in billing from a coding perspective.
Works delinquent accounts to ensure that deadlines for documentation are met for reporting requirements.
Distributes coding information to appropriate personnel.
Works closely with the business office staff to help resolve any coding related issues.
Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills by attending educational opportunities and staying current with significant changes in coding procedures and regulations.
Reviews and works Quadex claims in a timely manner to avoid delays in billing.
Works independently, bringing identified concerns to the supervisor for resolution.
Considers the age and demographics of the patient served, applying knowledge of growth and development and age specific techniques through the lifespan (neonates/infants, pediatrics, adolescents, adults and geriatric patients) in planning and implementing care.
Maintains confidentiality by adhering to all HIPAA guidelines and Ephraim McDowell Health policies related to HIPAA.
Contributes to the achievement of the mission and philosophy of the Organization.
Contributes to the effective operations of the Organization by demonstrating dependability in job performance.
Demonstrates a commitment to the core concepts of patient family centered care into practice (dignity, respect, information sharing, and participation).
Demonstrates a commitment to the development and implementation of shared governance across the Organization.
Performs other related duties as assigned.