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Coder Specialist I
1 month ago
MAIN FUNCTION:
To provide coding expertise in record review for ICD-9, ICD-10, CPT-4, and HCPCS coding to maximize reimbursement and maintain Best Coding Practices & carrier compliance. Current coding certification: CPC/CPC-A (AAPC) or will attain coding certification within 12 months of hire and maintain coding certification(s).
DUTIES AND RESPONSIBILITIES:
CODING :
Reviews medical records and documentation of assigned departments to ensure accurate coding submission to claims systems. Communicates appropriately with providers through RAI assignment when coding needs additional information and/or correction and/ or when best coding/documentation practices are not applied and followed.RECEIVEABLES MANAGEMENT:
Performs limited coding research as needed, in order to appropriately and accurately assist customer service with patient questions regarding their coding/billing.
OTHER:
Oversees medical record documentation to ensure that services provided are accurate. Is responsible for attending all annual mandatory educational programs as required by position. Also required to attend AAPC webinars that correlate to their assigned work. Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer’s needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with the Arnot Health. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.EDUCATION:
High school diploma or equivalent with additional course work at approved coding seminars or courses. Accounting or bookkeeping background preferred) Coding Experience Required. Education may be substituted for work experience.
EXPERIENCE:
Must have knowledge of ICD-9, ICD-10, CPT-4, and HCPCS coding for physician billing and current knowledge of E/M standards and specifications. Reimbursement and billing experience in Medicare B, Medicaid and other third party payers and data entry experience in a physician billing environment a plus.
CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:
No CPR required.
PHYSICAL DEMANDS:
Long periods of sitting, light lifting. Typical office job.
EXPOSURE CATEGORY:
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. And Category I tasks are not a condition of employment.
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