Coder III Position Available In Madison, Tennessee

Coder III locations
Bypass Building
time type
Full time
posted on
Posted Yesterday
job requisition id

R-202510239

Category:

Admin Support City:

Jackson State:

Tennessee Shift:

10 – Day (United States of America)

Job Description Summary:

Under the direct supervision of the Coding Manager, responsible for assigned 8 hour shift, 5 days a week with possibility as needed of overtime

ESSENTIAL JOB FUNCTIONS

1. Reviews electronic medical records and paper records to identify all treated diagnosis and significant procedures performed. 2. Sequences diagnoses and procedures according to definition of principal diagnosis, other co-morbid conditions and complications, and according to definition of principal procedure and other procedures and using appropriate modifiers. 3. Uses 3M Encoder to assign ICD- 10 diagnosis and CPT procedure codes and modifiers when indicated to ensure coding accuracy. 4. Utilizes online coding references, Local Coding Determinations and National Coding Determinations, Medicare Part B Announcements, Coding Alerts, Compliance Advisor, and other payor guidelines and to ensure appropriate code assignment for Compliance, Billing and Medical Necessity. 5. Transfers diagnosis and procedure codes and modifiers to billing system manually as needed per customer coding/posting guidelines. 6. Enters and change information into billing systems as indicated. (

Example:

diagnosis codes, physician, modifiers, procedure dates, procedure codes, place of service, referring physicians, etc.) 7. Performs investigations into different medical records for clarification of diagnoses, procedures and conflicting information for appropriate coding assignment. 8. Able to code a designated amount of work per day determined by the standards of the coding department. 9. Ability to audit a specialty for all the appropriate components and report any errors with the necessary corrections. 10. Ability to train others in a class setting or one on one. Keep current with coding changes and train the coding department on these changes. Work with the training team and the denial coder to keep the coders up to date on any trend that they may see. 11. Ability to print, assign, work and verify coding denials that come into our department. Work closely with the manager/trainer on any trends that are found in denials so the manager/trainer can educate the coders. Works closely with the insurance follow up team and management to decrease the number of denials and to get them corrected and resubmitted in a timely fashion. 14. Enter demographics and insurance information on a patient for the customer that you are assigned. 15. Performs related responsibilities and other duties as assigned or directed.

JOB SPECIFICATIONS

EDUCATION:

College or coding courses

LICENSURE, REGISTRATION, CERTIFICATION

CPC or AHIMA (RHIT or RHIA will be considered.) Specialty certifications such as E&M, surgery, etc. are a plus.

EXPERIENCE

Knowledge of Physician Billing practices, coding and coding guidelines.
Meets all job description requirements for Coding Specialist Trainee, Coding Specialist I, and Coding Specialist II.
Ability to code 17 ER visits per hour, 25 clinic visits per hour depending on the specialty, and 25 hospital visits per hour.
Self-motivated and eager to take on new challenges.
Ability to work more difficult coding denials.
Knowledge of E&M levels to appropriately assign codes that support the documentation or to conduct an audit.
Minimum 5-7 years of coding experience