About The Position

Under general supervision, this role reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, following all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this position provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form.

Requirements

  • 3 years of medical billing experience (required)
  • Extensive experience in coding (required)
  • Experience with medical management information systems and medical software (required)
  • High School Diploma or GED equivalent (required)
  • Certified Professional Coder (CPC) (required at time of hire)

Nice To Haves

  • EPIC experience is preferred

Responsibilities

  • Review clinical documentation and code to the highest level of specificity for accurate charge capture
  • Interact with providers to provide feedback and education using physical, verbal, and written communication
  • Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS for billed services
  • Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations
  • 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; present findings to providers, department chairmen, and/or compliance officers
  • Maintain compliance standards in accordance with internal policies and report compliance issues appropriately
  • Identify and account for missing charges and/or documentation
  • Perform coding work requiring independent judgment, ensuring timeliness and accuracy

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What This Job Offers

Job Type

Full-time

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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