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Coder I, Professional Srvc
2 weeks ago
Overview:
Be inspired. Be valued. Belong. At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship, development, leadership programs
- And more
Description:
RESPONSIBILITIES:
- This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding.
- FRONT END CODER: This position is accountable for the performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department.
- Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture, management of patient financial information (registration/insurance, referrals, pre-certs, etc.), and collection of patient service revenue.
- This position reports to the Supervisor or Manager, Revenue Cycle Operations.
- Employee may be responsible for other duties as assigned.
- CODING DENIALS SPECIALIST: The primary focus of this position will be to review and resolve all daily coding related denials based on coding/billing guidelines.
- The job role is accountable for edit maintenance and resolution, denial resolution, charge correction and special projects in order to optimize the revenue collections for the Department.
- Research and resolve all outstanding coding related denials with work queues/coding specialties and complete all necessary follow-up within a timely and accurate manner.
- The job role is responsible for communicating all denial trends and denial increases directly to supervisor/manager in order to positively affect the volume of denials.
- This position reports to the Supervisor or Manager, Coding Denials Management. Employee may be responsible for other duties as assigned.
MINIMUM QUALIFICATIONS:
- High school diploma or equivalent; one (1) year of experience in healthcare related field; OR 6 months of professional coding experience
- Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CPC-A, CPC, or CCA, CCS, CCS-P, RHIT
GE Centricity experience preferred; working knowledge of medical terminology, anatomy, and physiology; ability to read, analyze, and interpret general business periodicals, technical procedures, or governmental regulation; must be able to write business correspondences effectively and professionally, and must be capable of presenting verbal information and respond to questions from groups of managers, clients, customers (physicians) and the general public.
Additional Details:
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at Please note that one week's advance notice is preferred.
