outsourced

Medical Coder

outsourced
Local
September 29, 2021
outsourced

Medical Coder

outsourced
Local
September 29, 2021

Job Description

  • Performs initial charge review to determine appropriate ICD10 and CPT codes to be used to report physician/provider services to third party payers
  • Interprets progress notes, operative reports, discharge summaries and charge documents to determine services provided and accurately assigns CPT and ICD10 codes to these services
  • Enters appropriate data into the billing system by selecting the appropriate codes, diagnosis, modifiers and times of start and stop of cases, anesthesiologist, and surgeon information to complete the charge process if not provided.
  • Contacts providers through the management system regarding procedures and other services billed to ensure proper coding.
  • Ability to work independently in a fast paced environment.
  • Responsible for reviewing the billing system and other reports of clinical activity to ensure billing is captured for all patients.
  • Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
  • Responsible for ensuring the batch processes for all coded charges.
  • Reviews all providers’ documentation to ensure compliance with third party and regulatory guidelines.
  • Actively works on assigned accounts receivables including review of aging to ensure 30 day follow up.
  • Assists billers with denials related to coding and /or modifier use.
  • Performs duties and job functions in accordance with the policy and procedures established for the department.
  • Reports to work, meetings and professional obligations on time.
  • Assists with other duties within the Billing department as necessary.
  • Participates in meetings and trainings as necessary.
  • Ensures pertinent information relating to patient accounts and/or payer interaction is documented in the billing system.
  • Assists customers via phone or in person with billing questions/issues always maintain efficient and professional etiquette.  All phone calls should be documented in the billing system.
  • Follows up on unpaid or improperly paid claims as necessary.
  • Possess understanding of revenue streams coming to practice (ie: patient payments, insurance payments, collection agency payments, IME’s, arbitration, meaningful use/PQRS, etc)
  • Masters all system computer functions applicable to duties and maintains proficiency.
  • Answers questions from patients, office staff, medical staff and insurance companies as needed.
  • Actively participates in problem identification and resolution and coordinates resolutions with the Billing Director.
  • Respects and maintain privacy and dignity of patients; assure confidentiality at all times in accordance with HIPAA regulations.
  • Never “adjusts off” balance without approval from the Director of Billing.
  • Participates in meetings and/or educational programs as required.
  • Other duties as assigned by the Director of Billing

Qualifications

Education and Experience:

High School diploma or GED required.  Certified Professional Coder with a minimum of 2 years’ experience with CPT/ICD 10 coding.  Physician services preferred. Good working knowledge of medical terminology and anatomy required. Experience with EMR.

 

The job holder must demonstrate competencies applicable to the job position.

Knowledge:

  • Knowledge of business office etiquette.
  • Knowledge of grammar, spelling, and punctuation to document patient information.

Skills:

  • Skill in operating a computer, copier, fax, and scanner.

 

Abilities:

  • Ability to speak clearly and concisely.
  • Ability to read, understand, and follow oral, and written instruction.
  • Ability to sort and e-file materials correctly by alphabetic and/or numeric systems.
  • Ability to establish and maintain effective working relationships with patients, employees, vendors and the public.

Physical/Mental Demands: Work requires hand dexterity for telephone and office machine operation, occasional stooping and bending for documents/files and supplies, sitting for extended periods of time. Manual dexterity for using a computer keyboard. Ability to escort patients to exam rooms. Work involves standing, sitting, walking and occasional stooping.

 

Additional Details:

Schedule: Monday to Friday – 6pm to 3am 

 

Job Description

  • Performs initial charge review to determine appropriate ICD10 and CPT codes to be used to report physician/provider services to third party payers
  • Interprets progress notes, operative reports, discharge summaries and charge documents to determine services provided and accurately assigns CPT and ICD10 codes to these services
  • Enters appropriate data into the billing system by selecting the appropriate codes, diagnosis, modifiers and times of start and stop of cases, anesthesiologist, and surgeon information to complete the charge process if not provided.
  • Contacts providers through the management system regarding procedures and other services billed to ensure proper coding.
  • Ability to work independently in a fast paced environment.
  • Responsible for reviewing the billing system and other reports of clinical activity to ensure billing is captured for all patients.
  • Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
  • Responsible for ensuring the batch processes for all coded charges.
  • Reviews all providers’ documentation to ensure compliance with third party and regulatory guidelines.
  • Actively works on assigned accounts receivables including review of aging to ensure 30 day follow up.
  • Assists billers with denials related to coding and /or modifier use.
  • Performs duties and job functions in accordance with the policy and procedures established for the department.
  • Reports to work, meetings and professional obligations on time.
  • Assists with other duties within the Billing department as necessary.
  • Participates in meetings and trainings as necessary.
  • Ensures pertinent information relating to patient accounts and/or payer interaction is documented in the billing system.
  • Assists customers via phone or in person with billing questions/issues always maintain efficient and professional etiquette.  All phone calls should be documented in the billing system.
  • Follows up on unpaid or improperly paid claims as necessary.
  • Possess understanding of revenue streams coming to practice (ie: patient payments, insurance payments, collection agency payments, IME’s, arbitration, meaningful use/PQRS, etc)
  • Masters all system computer functions applicable to duties and maintains proficiency.
  • Answers questions from patients, office staff, medical staff and insurance companies as needed.
  • Actively participates in problem identification and resolution and coordinates resolutions with the Billing Director.
  • Respects and maintain privacy and dignity of patients; assure confidentiality at all times in accordance with HIPAA regulations.
  • Never “adjusts off” balance without approval from the Director of Billing.
  • Participates in meetings and/or educational programs as required.
  • Other duties as assigned by the Director of Billing

Qualifications

Education and Experience:

High School diploma or GED required.  Certified Professional Coder with a minimum of 2 years’ experience with CPT/ICD 10 coding.  Physician services preferred. Good working knowledge of medical terminology and anatomy required. Experience with EMR.

 

The job holder must demonstrate competencies applicable to the job position.

Knowledge:

  • Knowledge of business office etiquette.
  • Knowledge of grammar, spelling, and punctuation to document patient information.

Skills:

  • Skill in operating a computer, copier, fax, and scanner.

 

Abilities:

  • Ability to speak clearly and concisely.
  • Ability to read, understand, and follow oral, and written instruction.
  • Ability to sort and e-file materials correctly by alphabetic and/or numeric systems.
  • Ability to establish and maintain effective working relationships with patients, employees, vendors and the public.

Physical/Mental Demands: Work requires hand dexterity for telephone and office machine operation, occasional stooping and bending for documents/files and supplies, sitting for extended periods of time. Manual dexterity for using a computer keyboard. Ability to escort patients to exam rooms. Work involves standing, sitting, walking and occasional stooping.

 

Additional Details:

Schedule: Monday to Friday – 6pm to 3am 

 

How do you apply?

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