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Coder I – Clinic Billing Services

2 months 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. Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate level of service, place of service, new verses established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services. Reviews and resolves simple NCCI, LCD and MUE edits. 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 Preferred: Currently enrolled in a coding certification program or holding an Apprentice Certificate in coding- CPC or CCS; courses in Medical Terminology, Anatomy and Physiology Licensure/Certification Required: Within 18 months of hire complete a coding certification program: CPC-A, CPC, CSC or RHIT Experience Required: One (1) year of experience in billing/charge capture coding or related services 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. Maintains quality of work based on current published standards. Reviews documentation and sequences diagnoses and procedures using current coding guidelines for E&M and simple visit encounters. Completes claim information and validates for split or non-split payers. Communicates with Coder IIs, department management and clinic staff to obtain needed documentation to ensure correct billing. Completes assigned work queue assignment within departmental productivity standards. Obtains and maintains a 95% accuracy rate. Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient simple visit encounters. Performs other duties as assigned. Apply Now Share Job: Email Facebook Linkedin