Certified Coder

Position Summary
Under the direction of the Revenue Manager, performs various duties to accurately interpret and bill physician charges for physician services. Entering appropriate CPT and ICD-10 codes bills charges into the EHR Billing System.

Reports to: Revenue Manager
Essential Job Duties:

· Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.

· Thoroughly evaluates medical records to determine E&M level coding accuracy, evaluates other documentation to accurately reflect and support the outpatient visit, and to ensure that data complies with legal standards and guidelines.

· Interprets medical information such as disease or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD-10 codes.

· Contacts physicians through management regarding procedures and other services billed to ensure proper coding.

· Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.

· Monitors and follows up to ensure all services that can be billed are captured and coded for billing.

· Reviews all physician documentation to ensure compliance with third party state and Federal regulatory guidelines.

· Works in conjunction with the other Billing Office staff and Physicians to answer all coding inquiries.

· Meets and exceeds short- and long-term goals as established for the department.

· Perform duties and job functions in accordance with the policies and procedures established for the department.

· Reports to work, meetings and professional obligations on time.

· Assists in evaluation of reports, decisions, and results of department in relation to established goals.

· Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.

· Performs other related duties as required and assigned.

· Reports errors such as; under/over coding, lack of supporting documentation, encounter timeliness, etc., to supervisor to promote physician education.

· Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues. Adheres to Confidentiality Policy.

· Maintains a positive working relationship and fosters a cooperative work environment.

· Displays honesty and mutual respect when communicating with providers, managers, peers and other departments.

Minimum Qualifications

Education and Experience:

· High school diploma or GED completion is required.

· Certified Professional Coder with a minimum of three years’ experience with CPT/ICD-9/ICD-10 coding of physician services preferred.

· Good working knowledge of medical terminology and anatomy required.

· Encounter audit to determine E&M Level

Job Knowledge:

· Knowledge of current third-party billing and collection of regulatory guidelines and requirements.

· Good interpersonal skills and a basic understanding of team management concepts.

· Ability to gather and interpret clinical data.

· Ability to work independently in a fast-paced environment.

· Experience and knowledge of the 2021 Revised E/M Coding Guidelines is required.

· Previous outpatient coding experience required, preferably in primary care.

Physical Requirements

Sensory and communicative activities including: hearing, seeing, and speaking to be able to carry out essential job functions. Must be able to read and write English. Must be able to differentiate between all ranges of color.

THE JOB DESCRIPTION IS NOT INTENDED TO BE AN EMPLOYMENT CONTRACT, NOR DOES IT DISSOLVE THE "AT WILL" EMPLOYMENT RELATIONSHIP.

Job Type: Full-time

Pay: $19.50 - $25.50 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $20 - $26