Certified Medical Coder

Position Summary:

Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality i mprovement initiatives . Assist with clinician billing and documentation training.

Education:

Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.

Experience:

Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred. Lab coding experience required.

Skills and Abilities :

Strong written and verbal communication skills, strong analytical skills, organizational and time management skills . Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other Knowledge of LCD/NCD coding policies regarding Laboratory Services Ability to devise training materials to teach staff correct Professional demeanor and appearance, strong ethics, team player with positive attitude. Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)

Transportation Requirement:

None License(s)/Certification(s)

Required:

HIA, RHIT, CCS or CCS-P certification status required. Essential Functions Reviews medical record documentation to identify all services provided by Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service. Assists with the submission of billing Obtains and submits copies of medical documentation with clinician charges to support billing to third party Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services. Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training Compiles monthly reports as Identifies trends/problems in medical documentation and recommends possible solutions. Provides training support to billing department in handling of rejections and denials of Correction and submission of reference lab billing requests. Performs other duties as assigned. Marginal Functions Assists in audits. Codes input forms as required. Provides backup support to billing department.

Supervises:

None NOTE:

SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT NOTE

ALL

APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY

BASIS