posted

30+ days ago

Location

Macon, GA

Description

Biller/Coder- Macon
Temp to Hire
Family Medicine/Specialty
Preference CPC with Billing and Coding experience/ EClinical Works experience

Will Consider:
CPC/ with Billing experience/no  EClinical Works experience
Or
Non Certified Billing Specialist with knowledge of coding

If CPC 
MUST BE CPC CERTIFIED THROUGH AAPC.
MUST have PHYSICIAN CODING  experience.


Job Description : responsible for the validation of provider, supplies, and/or diagnostic services rendered to patients documented in the medical record are "coded” correctly as well as assuring coded services are supported by appropriate documentation including medical necessity. Coders are objective to the service provided regardless of physician or patient. Charge specialists are involved in charge capture aspects to ensure that "charges” are entered into the billing system based an assortment of requirements; payor contracts; billing rules; patient/demographic information, eligibility, etc. Charge specialists are subjective to the patient.
MINIMUM EDUCATION REQUIRED :High School Diploma or General Education Degree (GED) required.

MINIMUM EXPERIENCE REQUIRED :Completion of a formal coding program with preference given to AHIMA, CCA, CCS, or AAPC approved coding credentials with a minimum of 2 (two) years of applied coding work or a minimum of 5 (five) years of coding experience in a physician billing Revenue Cycle or Central Business Office encompassing a working knowledge of the ICD-9-CM/ICD-10 and CPT-4 coding systems, medical terminology, anatomy and physiology, and health record content required.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW :Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred. Non-certified Coders with proven coding experience will be required to obtain certification within an agreed upon time after the start of employment.

QUALIFICATIONS :
1. Knowledge of third-party insurance in regards to plan types: HMO, PPO, POS, and Indemnity
 2. Knowledge of the Medicare and Medicaid Programs (CMS) particularly as it relates to CPT procedures and ICD-10 coding. Thorough knowledge of Medicare Fraud and Abuse regulations.
3. Functional knowledge and understanding of the mechanisms of Electronic Medical Records (EHR) and Physician Billing Systems (PB).
4. Possess full knowledge of HIPAA regulations.

Job Type: Full-time
Required education:
  • High school or equivalent
Required experience:
  • Coding: 2 years
  • CPC: 2 years
Job Type: Full-time
Required education:
  • High school or equivalent
Required experience:
  • Medical Coding: 2 years