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Job Type
Full-time
Description
Essential Functions
- Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately.
- Must possess strong analytical and research capabilities to review physician and nurse documentation.
- Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.
- Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.
- Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.
- Communicates coding changes and/or questions to Physicians' offices to appropriate staff.
- Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.
- Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day and makes necessary changes to release charges to billing system.
- Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.
- Consistently stays within department goal for lag time for productivity accountability.
Requirements
Required Education and Experience: Education: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required.
Experience: 5 or more years of experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes.
Additional Eligibility Qualifications: Must have a minimal of CPC or COC with a specialty certification from the AAPC or equivalent organization.