Procedure Coder

US Digestive HealthExton, PA
Onsite

About The Position

This position is responsible for coding and entering into the EMR procedures, infusion, pathology, and professional charges for US Digestive Health. The role involves reviewing documentation for physician services, assigning CPT and ICD-10 codes, entering charges in the practice management system, researching claim edits, and staying current with billing and coding guidelines. The Procedure Coder will also field coding and billing questions, address communication through email, and participate in Clinical Quality measures, including documentation requirements within the Ambulatory Medical Record. Effective utilization of the AMR system is also a key aspect of this role.

Requirements

  • Knowledge of outpatient CPT, ICD-10, and HCPCS coding, as well as medical terminology.
  • Knowledge of the legal aspects of medical billing and documentation requirements.
  • Organizational and computer skills, including Microsoft Office.
  • Must demonstrate ability to work in fast-paced environment and meet deadlines.
  • Must demonstrate competencies in electronic health record and billing system.
  • Professional appearance, pleasant personality, and courteous manners with visitors, patients, and co-workers.
  • Demonstrates a patient-focused attitude. Committed to providing excellent service to all patients and visitors. Willingness to assist with genuine interest in the well-being of others.
  • Ability to work effectively under pressure and to meet deadlines.
  • Demonstrates leadership and group cohesive skills that promote teamwork and group achievement.
  • Effective written and verbal communication skills.
  • Must be able to work independently and efficiently with little supervision.
  • High School Diploma or GED equivalent
  • 2+ years’ experience in physician coding

Nice To Haves

  • Coding certification through AAPC or AHIMA preferred.

Responsibilities

  • Coding and charge entry within 48 hours from date of service.
  • Review of documentation for physician services.
  • Assign CPT and ICD-10 codes to services rendered from physician documentation.
  • Enter charges in practice management system.
  • Research edits /holds placed on claims as a result of coding issues.
  • Remain current in knowledge of billing, coding, and insurance guidelines.
  • Field coding and billing questions from coworkers and patients.
  • Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages.
  • Participates in Clinical Quality measures established by facility, including all documentation requirements within Ambulatory Medical Record.
  • Utilizes AMR system effectively and in manner consistent with facility guidelines when providing patient care.
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