Coder

Job Type Full-timeDescriptionThe Coder is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder will ensure quality and productivity standards are met. The Coder will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials.RequirementsESSENTIAL JOB FUNCTION/COMPETENCIESReviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issuesCommunicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issuesDemonstrates and use in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiologyWorks collaboratively with providers to obtain complete documentation to support codingStays accountable to quality and productivity standards, and monitor compliance with policies and proceduresIdentifies process opportunity trends and recommend ways to improve efficienciesResponsible for maintaining current knowledge of coding guidelines and relevant state and federal regulationsEnsures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursementParticipates in special projects, personal development training, and cross training as instructedInforms Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolutionWorks in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overallJob may require other duties as assignedCERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTSCPC, CCS-P, CMRS or AAPC required.KNOWLEDGE | SKILLS | ABILITIESDemonstrates understanding of business and how actions contribute to company performanceDemonstrates excellent customer service skillsKnowledge of medical terminology, Current Procedural Terminology (CPT), International Classification of Disease (ICD) coding, and the entire revenue cycle processKnowledge of EHR (Electronic Health Record) software systems and Microsoft Office productsProfessional verbal and written communication skillsAbility to develop reports and create presentationsAbility to work collaboratively across disciplines and business linesMust be comfortable working with team membersAbility to handle multiple tasks with excellent problem-solving skillsStrong analytical skills with ability to make conclusions and recommendationsWell organized with the ability to maintain accuracy and confidentialitySelf-driven and motivated to maintain productivity and efficiency levelsEDUCATION REQUIREMENTSHigh school diploma or general education degree; or equivalent combination of education and experience.EXPERIENCE REQUIREMENTSAt least 3 years' experience to successfully perform this jobEntry level Medical Billing and Coding Terminology preferredExperience in Urology or physician practice environment preferred