General Coder II

1 month ago


Saginaw, United States CMU Medical Education Partners Full time
Job DescriptionJob Description

Overview:

The coder works in direct support of all clinical programs, ensuring professional physician services are properly coded prior to billing.

Responsibilities:

  • Review patient documents for proper CPT, CPT Category II codes, ICD-10-CM code assignments, and quality reporting measures such as HEDIS.
  • Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes.
  • Communicate effectively with providers to ensure documentation supports reported codes.
  • Report documentation and compliance concerns to Lead Coder and Business Services Manager.
  • Serves as a resource regarding resolution of insurance denials and coding questions presented by A/R management personnel, residents, and providers.
  • Meet coding production expectations.
  • Participate in data collection, abstraction, and other reporting.

Required Qualifications:

  • 5 years coding experience with medical coding certification, RHIT, AAPC or AHIMA and or/ 5 years coding experience with enrollment in certification course within the first year of employment.
  • Extensive knowledge of CPT, HCPCS and ICD-10-CM code assignment.
  • Working knowledge of Electronic Health Record and Computer proficiency.

Preferred Qualifications:

  • Experience coding for professional services and multi-specialty clinic setting.
  • Medical billing experience.
  • Epic System EHR experience.

CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.


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