Medical Coder Jobs

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Health Information and Coding Specialist II

Millennium Physician GroupFort Myers, FL

About The Position

The medical coder provides quality assurance of front-end activities of physician billing for primary care, specialists and ancillary services including coding and billing capture. S/he is responsible for inputting the appropriate code of various medical services so that healthcare practitioners and providers can receive payment for services rendered. S/he assigns and identifies the information by using the accurate ICD-10-CM and CPT codes. S/he is responsible for making sure the assigned codes meet all federal, legal and insurance regulations so service payments are obtained in a timely fashion. S/he responds to coding inquiries as needed. S/he provides post-submission reviews to assist in denial management and timely resubmission of corrected claims or appeals in conjunction with the Reimbursement Resource Representatives.

Requirements

  • Associate's degree or equivalent from two-year college or technical school.
  • 1+ years clinical and/or Medicare Risk Adjustment experience.
  • 1+ years of quality improvement experience, or other relevant experience preferred.
  • Experience working in health care and insurance industry.
  • Knowledge base of clinical standards of care, preventive health standards and office based procedures.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence.
  • Ability to speak effectively before groups of customers or employees of organization.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
  • Ability to apply concepts of basic algebra and geometry.
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Proficient knowledge of Microsoft Excel Spreadsheet software; Microsoft Word Processing software, Outlook
  • Knowledge of Computers, Fax, Portals, Uploading, Downloading, Athena or other Electronic Medical Record System.
  • Certified Coder; CPC

Responsibilities

  • No coding errors
  • Understands ICD-10-CM and CPT codes
  • Verifies DX and treatment entries are complete and accurate
  • Queries physicians or support staff when codes are incorrect
  • Knows all changes in coding guidelines
  • Uses auditing tools to monitor accuracy
  • Actively communicates annual code updates, trends, concerns, carrier updates to leadership to ensure timely responses and actions.
  • Identifies trends that require action
  • Meets required productivity benchmarks based on assignment
  • Maintains active professional certification and complies with all educational, professional and ethical requirements of said certification

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

1-10 employees

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