What are the responsibilities and job description for the Medical Coder position at Pediatrix?
Overview
Responsibilities
The Hospital 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.
Qualifications
Education Level: High school diploma or GED. Associate's degree preferred.
Experience Years: 3-5 years related experience.
Experience Industry: Healthcare
- 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.
Benefits and Compensation
Benefits for Full Time employees and qualified dependents:
- Medical, Dental, Vision Insurance
- Progyny Fertility Benefits
- Teladoc Health and Second Opinion Services
- 401(K) Thrift Program & Sharing Plan**
- Employee Stock Purchase Plan (ESPP) – 15% discount*
- Basic Employee; Spouse; Child Life Insurance
- Accidental Death and Dismemberment (AD&D)
- Employee Optional Life and AD&D
- Short & Long Term Disability
- Pre-Tax Health Savings Accounts (HSA)
- Employee and Dependent Flexible Spending Account (FSA)
- Family Medical Leave Act (FMLA)
- Parental Leave Benefit
- Sick Pay Bank
- Employee Assistance Program (EAP)
- Group Aflac Policies
- Identity Theft Protection
- Employee Charitable Fund
- Care.com
- Continuing Education Assistance
- Various Discount Programs
*Part Time Regular employee classifications also receive this benefit
**Available to part-time regular and part-time casual employees aged 21 and over
About Us
Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.
Pediatrix is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
