A Medical Coder organizes and reviews patient medical records and assigns codes for each diagnosis and treatment. Prepares coded information for use by health care insurers or for research. May retrieve information for clinicians and billing offices. Works in healthcare facilities.
Under the supervision of the Billing Manager, the Certified Medical Coder/Charge Review Specialists ensures that all billing charges are captured in timely manner. This individual identifies billing errors and omissions and enacts corrective measures as needed to effectively communicate and resolve errors for assigned work queues.
Essential Functions:
Responsible for posting all charges into billing system daily. Corrects keying errors / coding errors identified by the practice management claim edits or other sources in a compliant and timely manner. Maintains and applies high-level carrier-specific coding and billing rules to avoid unnecessary rejections and denials. Responsible for reviewing codes and completing charge corrections to ensure accuracy per payer requirements. Refer to clinical reports, educational tip sheets provided by coding team and Bill Dunbar, personal notes from trainings and meetings to confirm accuracy of codes (diagnosis codes & CPT codes). Electronic claim submission. Ensure that assigned charges are entered into the system, accurately, consistently and in a timely manner to ensure accurate monthly financial reporting. Assist with identifying quality issues with registration and scheduling activities. Works with management to identify, trend, and address root causes of billing error or omissions; helps pinpoint strategies for reducing AR. Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements. Effectively handles all communications from departments with HRH and Hendricks County Physician Billing. Utilizes EPIC work queues, dashboards, and reports to complete assigned work and priorities follow up efforts. Maintains acceptable levels of performance in productivity, quality, and schedule adherence. Participates in continuous quality improvement efforts in process and system optimization. Demonstrates initiatives and resourcefulness by making recommendations based on trends. Understands and maintains compliance with HIPAA guidelines when handling patient information. Participates in monthly Charge Review and Coding Team meetings. Education and/or
Experience Requirements:
Must be a high school graduate or equivalent. At least two years of healthcare experience. Three or more years of experience preferred in computerized medical billing, accounts receivable, coding and collections. EPIC software &/or provider billing preferred.
Preferred Experience:
Certified Professional Coder (CPC) through AAPC strongly preferred. Minimum of two years coding experience.
Knowledge, Skills & Abilities:
Excellent customer service and written and verbal communication skills. Knowledge of third-party payers, billing requirements, and reimbursement methods. Outstanding problem-solving and organizational abilities. Must have medical terminology, ICD-10, CPT and HCPCs knowledge Must have the ability to multitask, manage own time effectively, and work independently. Proficiency in Microsoft Office products including Outlook, Word, Excel, and Teams required Must be able to maintain confidentiality of sensitive patient information.
Work Location:
Remote after training concludes (usually 60-90 days based on individual)
Time Commitment:
Part-Time (~20 hrs / week)
NOTE:
We are a small group and unfortunately, we do not offer health insurance.
Benefits:
401(k) with employer matching Life insurance Lifestyle spending account Paid time off Paid holidays
Pay:
$24.50 - $35.00 per hour
Benefits:
401(k) 401(k) matching Flexible spending account Life insurance Paid time off
