Coder II – Clinic Billing Services

2 weeks ago


Rancho Mirage, United States Eisenhower Health Full time

Job Objective Reports to Supervises Ages of Patients Blood Borne Pathogens Qualifications Essential Responsibilities Job Objective expand_more Job Objective: A brief overview of the position. Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines. Reports to Manager-Coding and Charge Capture Supervises N/A Ages of Patients N/A Blood Borne Pathogens Minimal/ No Potential Reports to expand_more Reports to Manager-Coding and Charge Capture Supervises expand_more Supervises N/A Ages of Patients expand_more Ages of Patients N/A Blood Borne Pathogens expand_more Blood Borne Pathogens Minimal/ No Potential Qualifications expand_more Qualifications Education Required: High School Diploma, GED or higher level degree Licensure/Certification Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT Experience Required: Two (2) years of experience in coding as a certified coder Preferred: Physician coding for inpatient, outpatient and procedures Essential Responsibilities expand_more Essential Responsibilities Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. Ensures quality of work performed through regular audits maintaining a 95% accuracy rate. Maintains daily productivity based on departmental standards. Sequences the ICD10 diagnoses and procedures using coding guidelines. Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges. Creates and submits providers queries when documentation does not support the code provided. Communicates with providers, office personnel and management personnel for needed documentation for accurate coding. Reviews Claim edits related to coding such as LCD,NCCI and MUE’s and assists with corrections for clean claim submission. Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-10-CM and/or CPT coding, HCPCS conventions. Assists with research and development and presentation of continuing education programs on areas of specialization. Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information. Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions. Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Performs other duties as assigned. Apply Now Share Job: Email Facebook Linkedin


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