Temporary Medical Coder

Pediatrix Medical GroupSan Antonio, TX
28d

About The Position

The Coder is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized through the account registration, billing, coding of hospital records and data entry of all hospital based charges into the billing system. Code from hospital records, physician notes and ancillary records. Assign modifiers and sequence codes appropriately to accurate reflect services provided. Gather and verify current demographic information including insurance information, insurance benefits and eligibility and obtains valid authorizations and referrals; contacting insurance companies (as necessary). Process daily billing; completing and submitting daily and monthly statistics and assisting the Practice Manager and physicians with coding and billing duties as needed. Obtains medical information from physicians and hospitals when required to validate correct coding. Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when indicated. Responds to accounting or billing inquiries from physicians and management. Ensures medical records are complete and forwards to appropriate departments for filing and/or audit. Notifies physicians when documentation is unavailable for coding and billing and works with physicians on correct documentation of services. Follow all government and payer coding guidelines and HIPAA guidelines. Performs other duties as assigned.

Requirements

  • High school diploma or GED
  • 3-5 years related experience
  • Healthcare Industry experience
  • Equivalent combination of relevant education and experience will be considered

Nice To Haves

  • Associate's degree preferred
  • Certification in Professional Coding (CPC) is preferred and in some sites may be required
  • Surgical coding and coding modifiers experience preferred

Responsibilities

  • Accuracy and timeliness of billing and coding
  • Code from hospital records, physician notes and ancillary records
  • Assign modifiers and sequence codes appropriately
  • Gather and verify demographic and insurance information
  • Process daily billing and statistics
  • Obtain medical information to validate correct coding
  • Perform data entry of registrations and charges
  • Review billing and coding reports
  • Respond to accounting or billing inquiries
  • Ensure medical records are complete
  • Notify physicians of documentation issues
  • Follow coding and HIPAA guidelines
  • Assist the Practice Manager and physicians with coding and billing duties as needed
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