What are the responsibilities and job description for the Certified Coder - OB/GYN position at University of Maryland Faculty Physicians, Inc?
Duties will include: selecting the correct diagnosis and procedure codes based on documentation and payer specificity requirements; communicating with physicians about coding questions and issues; using modifiers to assure clean claims; maintaining current knowledge on coding and billing policies; and other duties as assigned.
Requirements Qualified applicants will possess: H.S. diploma or equivalent (GED); Certified Professional Coder (CPC or CCS-P) certification required, previous experience in professional coding and/or auditing; PC proficiency; knowledge of payers in specialty; extensive knowledge of CPT and ICD-9 coding; knowledge of government regulations as they relate to teaching physician documentation; and knowledge of medical terminology, anatomy, and physiology is required. CPC-A license are encouraged to apply.
ESSENTIAL JOB FUNCTINS
1. Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines.
2. Ensures that teaching physician documentation and billing requirements are met and are clearly reflected.
3. Review provider coding and provide training and feedback on coding questions and issues.
4. Assists billing and collections staff with denials and charge correction requests as needed.
5. Resolves coding TES edits.
6. Continually refreshes and applies knowledge of government regulations as they relate to coding and billing.
7. Performs internal pre-pay audits based on compliance guidelines when required.
8. Communicates with physicians about coding questions and issues.
