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Certified Medical Coder
2 months ago
Job Summary:
Hirebridge Organic is seeking a highly skilled Certified Medical Coder to join our team. As a Certified Medical Coder, you will play a key role in reviewing and analyzing medical billing and coding for daily processing.
Key Responsibilities:
- Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures.
- Ensure proper coding on provider documentation.
- Verify that all codes are current and active.
- Report missing and/or incomplete documentation to provider and/or clinical staff.
- Meet daily coding production expectations.
- Perform accurate charge entries.
- Understand coding and reimbursement regulations and recognize the order in which services are billed to ensure maximum reimbursement by reading various coding and insurance newsletters and websites.
- Accurately post services based on global services data by applying NCCI edits, AAOC, NASS and ASSH Global Guidelines for all applicable insurance carriers.
- Serve as a resource regarding insurance resolutions and coding questions.
- Communicate changes and updates in coding requirements from insurance carriers to supervisor.
- Post daily receipts and correct posting errors in practice management system.
- Assist with external and/or internal audits as requested.
- Review and make corrections based on the Missing Encounter Report.
- Audit charges provided by hospitals/surgical centers to capture all charges for posting.
- Other duties as assigned.
Requirements:
- Associates and/or Bachelor's degree preferred.
- Minimum of 1-year of coding experience; orthopedic experience preferred.
- Individuals who are planning to become certified are encouraged to apply.
Skills and Abilities:
- Ability to analyze situations and solve problems.
- Employ Critical thinking and problem solving.
- Maintains composure and operates with emotional intelligence.
- Ethical reasoning and decision-making.
- Strong attention to detail.
- Receptive and responsive to feedback.
- Excellent verbal and written communication skills.
- Time management, prioritization, and sense of urgency.
Work Environment:
Work is performed in an office environment. Involves frequent contact with patients, physicians, and other healthcare personnel. Work may be stressful at times. Interaction with others is constant and interruptive. It is possible work may involve interaction with injured or sick patients.
Compliance:
All employees have a responsibility to comply with our organization's policies and procedures, adhere to our Code of Conduct, complete required compliance training modules, and report any observations of non-compliance.
EEO Statement:
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
