The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff.
Duties and Responsibilities
- Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners
- Assign and sequence all CPT and ICD-10 codes for services rendered when required
- Work with billing staff and system WQ’s to ensure proper payment of claims
- Comply with all Medicare policy requirements including coding initiatives and guidelines
- Work independently from assigned work queues
- Maintain confidentiality at all times
- Maintain a professional attitude
- Other duties as assigned by the management team
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
- CPC certification AAPC or CCS certification from AHIMA
- High School graduate or equivalent
- Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.)
- Knowledge of Microsoft Word, Outlook, Excel
- Must be able to use job-related software
- Surgical coding experience a plus
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Gracious and welcoming personality for customer service interaction
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
- Work Environment: The noise level in the work environment is usually minimal.
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