What are the responsibilities and job description for the Coder - Physician Billing position at Healthcare Industry?
MediSys Management, LLC/FRR Recovery, Inc offers a robust benefits package, which is designed to help you and your dependents stay healthy, feel secure and maintain a work/life balance. This is just one way we strive to provide employees with a rewarding workplace. As an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.
Summary of Responsibilities: Analyzes and Code medical charts, all service area, Inpatient, Ambulatory Surgery, Cardiology, Observation, Interventional Radiology, Emergency Medicine, Clinics, Nursing Home, to ensure proper ICD-10-CM, CPT, HCPCS. Assists and assigned physicians in selecting proper CPT, Diagnoses and Modifier for medical procedures performed. Analyzes appropriate manually charge posted batches to ensures accuracy of ICD-10-CM and CPT code assignment. Certification required.
Responsibilities:
- Analyze provider documentation for assigning all diagnosis, procedures, modifier, Date of service and Place of service following billing and coding guidelines. Codes and/or validates all outpatient service area, Diagnosis, E&M and Modifiers meeting productivity levels of 90-100 charts per day. Not limited to number of transactions filed.
- Codes Inpatient, ASU and Surgical chart, edit and or validate the physician procedures according to services performed, meeting productivity levels 65 charts not limited to number of transactions filed.
- Review assigned work-queues charts to ensure all CPT and/or HCPCS charge codes are accurate based on physician documentation.
- Reviews and keeps updated with all physician billing, and coding guidelines.
- Assists physician in assigning CPT codes that represent treatment provided.
- Full knowledge, of Coding guidelines: Initial vs Subsequent, New vs Established, Sick vs. Preventive, Split Share and COVID-19.
- Review Telemedicine Grid per Insurance to ensure proper billing.
- Full knowledge of National Correct Coding Initiative (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits.
- Full knowledge of company policies and procedures.
- Maintains confidentiality of patient information as per hospital policy
- Performs other incidental and related duties as required and assigned.
Education and Work Experience:
- High School Diploma or General Education Degree (GED)
- College Preferred
- Preferred two-five years' experience
Required Licenses/Certifications:
- Certified Professional Coder (CPC) or
- Certified Coding Specialists (CCS) or
- Certified Coding Specialists Physicians (CCSP)
Skills and Knowledge:
- Knowledge of company operating systems
- Full knowledge of CPT and ICD-10-CM coding.
- Computer proficiency in MS Office (Word, Excel)
- Ability to work under nominal supervision performing duties in an area where procedures are standardized but independent decisions required.
- Excellent written and oral communication skills.
- Knowledge of billing guidelines.
- Ability to work with all employment levels in a collaborative manner including physicians
- Ability to multitask
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work requires the following activates: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing, and visual acuity. The work is performed primarily indoors. The employee must occasionally lift and/or move up to 25 pounds.
Job Type: Full-time
Pay: $81,000.00 per year
Work Location: In person
Salary : $81,000
