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El Paso, Texas, United States University Medical Center of El Paso Full timeJob Summary:The University Medical Center of El Paso seeks a skilled Certified Medical Coder/Abstractor to accurately code and abstract outpatient medical records according to ICD-10-CM and CPT coding guidelines. This role is responsible for achieving timely reimbursement and populating statistical databases.Key Responsibilities:• Accurately code and...
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Certified Medical Coder
2 months ago
Bienvivir All-Inclusive Senior Health is dedicated to providing a comprehensive healthcare delivery system that emphasizes quality of life, independence, and dignity for frail seniors. Our organization has been serving the elderly community in El Paso, Texas, since 1987 through the Program of All-Inclusive Care for the Elderly (PACE).
Position Summary:
The Certified Medical Coder plays a crucial role under the guidance of the Utilization Manager. This position is responsible for accurately coding the internal Physician superbill and ensuring all audits and corrections are completed before submission for data entry with the Centers for Medicare & Medicaid Services (CMS). The coder will leverage medical charts and collaborate with internal physicians to finalize superbills and audits. Communication with CMS contacts may be required for information gathering and resolving audit discrepancies. Additionally, the coder will audit reports from the CMS system related to the entered data and provide training to medical staff on diagnostic coding and report interpretation.
Key Responsibilities:
- CMS Program and Reporting: Adhere to the BSHS CMS system manual and departmental policies, ensuring comprehensive knowledge of the coding division.
- Code superbills using documentation from medical charts provided by BSHS physicians.
- Audit medical chart documentation for accuracy before submitting for CMS data entry.
- Conduct follow-ups and audits on relevant CMS reports regarding submitted data.
File Management and Documentation:
- Maintain an organized file system for collected information and entered data.
- Review reports related to claim submissions, including rejections and resubmissions.
- Update and manage the CMS training manual and information binder.
Meetings and Communication:
- Attend relevant committee meetings and departmental staff meetings.
- Communicate effectively with internal physicians regarding superbill and medical chart documentation issues.
Training Responsibilities:
- Provide training to medical professionals and staff on diagnostic coding and CMS reporting.
Additional Duties:
- Travel to various centers as required.
- Perform a variety of clerical functions and other assigned tasks.
Qualifications:
- Coding Certification from an accredited institution.
- Minimum of 1 year of coding experience.
At Bienvivir, we are committed to enhancing the quality of life for our participants through dedicated service and compassionate care.
