Professional Coder

Bronson Healthcare

2d•Onsite

About The Position

The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the population served.

Requirements

High school diploma or general education degree (GED) required
Must have working knowledge of ICD-9 and CPT coding with emphasis on area of specialty working in
Strong medical terminology
Ability to utilize word processing, spreadsheet, presentation programs, databases, and other software relevant to the job
Requires excellent communication skills and positive customer relations orientation
Must have excellent communication skills (orally, face to face and/or by telephone, and in writing) and a positive customer relations orientation
Must be able to work independently and demonstrate effective problem-solving
Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time.
The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

Nice To Haves

12-18 months coding experience in a health care setting preferred
CPC or RHIT (Registered Health Information Technician) required within 12 months of hire

Responsibilities

Perform detailed review of provider documentation/dictation for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery).
Perform research on code selection.
Reviews work queues and/or post charges into Practice Management System for provider hospital and office billing, and complex surgery cases, validating documentation with correct dates of service and confirming selection of appropriate billing codes.
Provide codes for surgical cases for insurance authorization.
Run reports (e.g., Charge Summary) as necessary for physician review and CBO.
Maintain necessary spreadsheets tracking authorizations and surgical case/procedures.
Communicates in a positive persuasive manner with physician on rationale for selected codes.
Relays messages to providers.
General clerical duties including internal/external correspondence and answering telephones.
Completes required forms or letters as necessary.
Performs other duties as may be assigned.