What are the responsibilities and job description for the Coder II- Oncology Clinic position at North Mississippi Medical Center System?
Tupelo
ONCOLOGY CLINIC EXPENSE
Full Time - Day
At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” We aim to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people who form incredible connections with our patients and families. We take pride in celebrating everything that makes you unique—your talents, perspectives, and passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. You know what connected feels like when you are part of our team. #WhatConnectsYou
**JOB SUMMARY** The Coder II at North Mississippi Health Services is responsible for ensuring timely and accurate billing and reimbursement for inpatient, outpatient, and ambulatory records including assigning diagnostic and procedural codes according to patient record and documentation, monitoring reimbursement, and investigating denials. This role engages broad knowledge and collaborates with the Coding & Reimbursement Manager to accurately apply coding guidelines, coordinate with external parties and payers for reimbursements, and ensure compliance with all relevant policies, procedures, and guidelines. **JOB** **FUNCTIONS** Coding: * Assign diagnostic and procedural codes using ICD-10-CM and CPT coding systems for inpatient, outpatient, and ambulatory surgery records in order to ensure accurate billing and statistical information by reviewing provider documentation. * Apply coding knowledge of ICD-10-CM and CPT to denial review to ensure accurate coding, compliance and reimbursement. * Research and apply coding/billing guidelines for various carriers. Knowledge of Hierarchical Condition Category coding to ensure accurate diagnosis coding and future reimbursement. Reimbursement: * Apply local Medical Review Policies regarding medical necessity to all insurance carrier’s procedures to ensure appropriate reimbursement for the provided service. * Follow up with insurance carriers on outstanding appeals and/or incorrect allowable/reimbursement. Identify reimbursement opportunities through documentation review and denials for NMMCI and MSOs. Denials: * Research causes for insurance denials by reviewing provider documentation, medical policy, and coding guidelines. * Determine if the documentation is compliant with guidelines and supports all services billed. * Decide if the denial can be sent for appeal, the provider be held accountable, or if patient is responsible. * Make corrections to patient account and with insurance carrier as needed. Compliance: * Abide by NMHS Coding Compliance Policy, ICD-10-CM and CPT Coding Guidelines and Standards of Ethical Coding. * Determine if provider's documentation meets coding guidelines and involve the Coding Specialist to provide education as needed. Customer Service: * Interact effectively and assist NMMCI and MSO clinic managers, charge entry personnel, and physicians with determining appropriate CPT codes for their charges, coding guidelines, medical policies and education to gain trust, commitments, and a strong work relationship. **QUALIFICATIONS** **Education** **Education Level** **Education Details** **Required/Preferred** Associate's Degree Health Information Management Required Or **Licenses and Certifications** **Licenses and Certifications** **Licenses and Certifications Details** **Time Frame** **Required/** **Preferred** RHIT - Registered Health Information Technician Health Information Management within 180 Days Required Or Certified Coder-AHIMA or AAPC Certified Professional Coder (CPC) within 180 Days Required **Work Experience** **Number of Years** **Work Experience Details** **Required/** **Preferred** 1-3 years At least 1 year previous outpatient coding experience with and CPT coding schemes, including evaluation and management codes and experience with insurance carriers Preferred **Knowledge Skills and Abilities** **Knowledge, Skills, Abilities** **Required/Preferred** **Proficiency** Coding and research skills; required. Required N/A Thorough knowledge of medical terminology. Selection Required N/A Previously completed course in basic anatomy. Selection Required N/A Ability to read and interpret medical record documentation. Selection Required N/A Ability to operate PC. Selection Required N/A Assist CBO, clinic and MSO staff with special needs for coding and billing information. Selection Required N/A Must be conscientious to detail and work well within a team oriented structure. Selection Required N/A Ability to organize daily tasks and work independently in order to accomplish tasks in a timely manner. Selection Required N/A Excellent communication skills are necessary to interact with physicians, clinic staff, MSO and CBO staff, and insurance company personnel. Selection Required N/A Must display professional attitude in all situations. Selection Required N/A Ability to gather and share information with knowledge, tact and diplomacy. Selection Required N/A **SCOPE** **Freedom To Act:** **Problem Solving:** **Impact:** **Financial Responsibility:** * Sales Revenue Target Responsibility: * Approval Responsibility: * P & L Responsibility: * Assets Controlled: * Controllable Expenses (e.g., Payroll and other budgeted items): * Total Financial Responsibility: **Budget Responsibility** * Primary Budget Responsibility: * Shared Budget Responsibility:
Associates
ONCOLOGY CLINIC EXPENSE
Full Time - Day
Posting Description
At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” We aim to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people who form incredible connections with our patients and families. We take pride in celebrating everything that makes you unique—your talents, perspectives, and passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. You know what connected feels like when you are part of our team. #WhatConnectsYou
Job Description
**JOB SUMMARY** The Coder II at North Mississippi Health Services is responsible for ensuring timely and accurate billing and reimbursement for inpatient, outpatient, and ambulatory records including assigning diagnostic and procedural codes according to patient record and documentation, monitoring reimbursement, and investigating denials. This role engages broad knowledge and collaborates with the Coding & Reimbursement Manager to accurately apply coding guidelines, coordinate with external parties and payers for reimbursements, and ensure compliance with all relevant policies, procedures, and guidelines. **JOB** **FUNCTIONS** Coding: * Assign diagnostic and procedural codes using ICD-10-CM and CPT coding systems for inpatient, outpatient, and ambulatory surgery records in order to ensure accurate billing and statistical information by reviewing provider documentation. * Apply coding knowledge of ICD-10-CM and CPT to denial review to ensure accurate coding, compliance and reimbursement. * Research and apply coding/billing guidelines for various carriers. Knowledge of Hierarchical Condition Category coding to ensure accurate diagnosis coding and future reimbursement. Reimbursement: * Apply local Medical Review Policies regarding medical necessity to all insurance carrier’s procedures to ensure appropriate reimbursement for the provided service. * Follow up with insurance carriers on outstanding appeals and/or incorrect allowable/reimbursement. Identify reimbursement opportunities through documentation review and denials for NMMCI and MSOs. Denials: * Research causes for insurance denials by reviewing provider documentation, medical policy, and coding guidelines. * Determine if the documentation is compliant with guidelines and supports all services billed. * Decide if the denial can be sent for appeal, the provider be held accountable, or if patient is responsible. * Make corrections to patient account and with insurance carrier as needed. Compliance: * Abide by NMHS Coding Compliance Policy, ICD-10-CM and CPT Coding Guidelines and Standards of Ethical Coding. * Determine if provider's documentation meets coding guidelines and involve the Coding Specialist to provide education as needed. Customer Service: * Interact effectively and assist NMMCI and MSO clinic managers, charge entry personnel, and physicians with determining appropriate CPT codes for their charges, coding guidelines, medical policies and education to gain trust, commitments, and a strong work relationship. **QUALIFICATIONS** **Education** **Education Level** **Education Details** **Required/Preferred** Associate's Degree Health Information Management Required Or **Licenses and Certifications** **Licenses and Certifications** **Licenses and Certifications Details** **Time Frame** **Required/** **Preferred** RHIT - Registered Health Information Technician Health Information Management within 180 Days Required Or Certified Coder-AHIMA or AAPC Certified Professional Coder (CPC) within 180 Days Required **Work Experience** **Number of Years** **Work Experience Details** **Required/** **Preferred** 1-3 years At least 1 year previous outpatient coding experience with and CPT coding schemes, including evaluation and management codes and experience with insurance carriers Preferred **Knowledge Skills and Abilities** **Knowledge, Skills, Abilities** **Required/Preferred** **Proficiency** Coding and research skills; required. Required N/A Thorough knowledge of medical terminology. Selection Required N/A Previously completed course in basic anatomy. Selection Required N/A Ability to read and interpret medical record documentation. Selection Required N/A Ability to operate PC. Selection Required N/A Assist CBO, clinic and MSO staff with special needs for coding and billing information. Selection Required N/A Must be conscientious to detail and work well within a team oriented structure. Selection Required N/A Ability to organize daily tasks and work independently in order to accomplish tasks in a timely manner. Selection Required N/A Excellent communication skills are necessary to interact with physicians, clinic staff, MSO and CBO staff, and insurance company personnel. Selection Required N/A Must display professional attitude in all situations. Selection Required N/A Ability to gather and share information with knowledge, tact and diplomacy. Selection Required N/A **SCOPE** **Freedom To Act:** **Problem Solving:** **Impact:** **Financial Responsibility:** * Sales Revenue Target Responsibility: * Approval Responsibility: * P & L Responsibility: * Assets Controlled: * Controllable Expenses (e.g., Payroll and other budgeted items): * Total Financial Responsibility: **Budget Responsibility** * Primary Budget Responsibility: * Shared Budget Responsibility:
Requirements:
Licenses
You must have the following licenses to apply:Education
You must have the following education to apply:Associates
