Temporary Medical Coder

Pediatrix•San 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

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
Equivalent combination of relevant education and experience will be considered.

Responsibilities

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.