Medical Coder

Wisdom * Integrity * Compassion

At Wright State Physicians our core values are #Wisdom, #Integrity, and #Compassion. If you also share these core values, come work with us.

General Summary: A non-exempt position responsible for entering information into the physician billing system in a timely manner; reviewing data for accuracy; resolve outstanding account balances.

Benefits: At Wright State Physicians our core values are Wisdom, Integrity, and Compassion. We value our employees, patients, and students as our most important mission/purpose. We offer a competitive salary and excellent full-time benefits, including:

• Medical Insurance with HSA
• Dental Insurance
• Vision Insurance
• Vacation
• 10 Paid Holidays
• Sick Pay and Short and Long Term Disability
• Tuition Remission with Wright State University
• A generous 7.5% company contribution to an employee 401(a) with 100% vesting
• 403(b)
• and more

Essential Job Responsibilities:

1. Reviews charges, diagnosis, and procedure codes for accuracy in documentation, and applies appropriate modifiers in timely and accurately into system.
2. Verifies and/or updates patient demographics including payer details.
3. Applies payer specific guidelines as appropriate.
4. Maintains charge lag timely and meets goals. Communicates delayed or missing charges to appropriate team members.
5. Exhibits strong communication skills and positive attitude with internal (team members, other departments, and leadership) and external customers (patients, insurance companies, vendors, and employers) to resolve concerns or issues.
6. Collaborates with billing staff and directs customer complaints to management for immediate response if unable to resolve.
7. Escalates high priority and/or coding issues and questions to appropriate team members.
8. Reviews end of month outstanding charges.
9. Provides input and feedback to management in the development and implementation of new policies and procedures.
10. Selects priorities and organizes work and time to meet them in order of importance.
11. Monitors LCD, NCD, and CCI edits to promote clean claim submission.
12. Other duties assigned by management.

Education/Certifications: High school diploma or equivalent required; Training in medical coding or related field preferred.

Experience: Minimum one-year related experience or advanced related training beyond high school. The ability to obtain a coding certification within 24 months is highly desirable.

Other Requirements:

1. The employee is expected to protect the privacy of all patient/client information in accordance with Wright State Physicians privacy policies, procedures and practices as required by Federal (and State) law and in accordance with general principles of professionalism as a health care provider.
2. Maintains the confidentiality of all patient/staff records.
3. Actively participates and collaborates with teams involved with process improvements.

1. Must have ability to work precisely with details, handle stressful situations and maintain a positive work environment.