Job Family: Office and Clerical
Full/Part Time: Full Time
Shift/Days: Day
FTE: 1.00
Department: Bus Group Team 7-Er
Organization: Jacksonville Physicians, Inc.
Overview
Job Duties
Review, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider’s documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes, verbally, physically, and in written forms.
Essential Functions
• Review clinical documentation and code to the highest level of specificity for accurate charge capture.
• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed.
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
• Communicates with Physicians, other business group personnel, clinical areas, and staff in coding related questions.
• Manage coding related edit work queues.
• Prepares documentation audits with written results and trend data. Presents the results to the Provider, Department Chairman, and/or Compliance Officer.
• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.
• Identify and account for missing charges and/or documentation.
• Performs coding work requiring independent judgment with timeliness and accuracy.
• Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills
Temperament
Adhere to company policies and procedures, demonstrate the core values and Hospitality behaviors, resolve conflict through open, honest, professional communication, demonstrate positive and enthusiastic attitude, keep supervisor and leadership apprised of issues, and seek opportunities to recognize others.
Qualifications
Skills, Knowledge, Abilities
• Ability to communicate effectively and courteously, both orally and in writing.
• Ability to organize and prioritize assignments to work independently as well as a collaborative team member.
• Concisely communicate and relate to all levels of the organization, customers and outside agencies.
• Proficiency with medical terminology.
• Ability to manage multiple priorities and meet deadlines.
• Attention to detail and quality of work.
• Comprehensive understanding of coding, reimbursement, documentation analysis, and medical terminology.
• Proficiency with procedural and diagnosis coding, CPC required.
Experience Requirements
3 years Medical Billing required
5 years Extensive experience in physician coding required
Medical management information systems and medical software required
Education Requirements
High School Diploma or GED required
Certification/Licensure
Certified Professional Coder (CPC) required at time of hire
UFJPI is an Equal Opportunity Employer and Drug Free Workplace
