Professional Office Coder

Trinity Health • Grand Rapids, MI

1d • Remote

About The Position

The Professional Office coder will review all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider. and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties.

Requirements

• CPC, CPC-A , CCS, or CCS-P Certified
• One to three years of experience in a medical office coding setting

Responsibilities

• Reviews encounter forms or EHR for completion and accuracy, including ICD-10, ICD9CM, CPT and HCPCS modifier assignment.
• Understands Nextgen EHR for charge passing position, reviews chart for missing items.
• Uses tasking for missing information.
• Researches all information needed to complete billing process.
• Reads and understands operative reports and other medical records, assigns codes from review of these records procedures from notes.
• Performs accurate data entry from encounter form.
• Performs claim correction process and properly submits per payer request.
• Follows daily, weekly & monthly audit reports - charge review, edits, missing charges.
• Resolves coding discrepancies related to coding and revenue capture.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed