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.
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Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees