Benefits:
Bonus based on performance
Company parties
Employee discounts
Health insurance
Opportunity for advancement
Job Summary
Neville Foot and Ankle Center is seeking a highly organized and detail-oriented Certified Medical Coder with extensive knowledge and experience in the administrative and clerical field. Providing accurate and timely coding and documentation services to ensure efficient and compliant medical records. Review and verify documentation to support diagnoses, procedures, and treatment results.
Qualifications
· EClinical works experience a PLUS
· Required- H.S. Diploma or equivalent.
· Required- CPC - 3 to 5 years Certified Professional Coders (AAPC)
· In-depth knowledge of CPT and ICD-10 codes, Medicare, and commercial billing rules,
· The ability to read explanation of benefits (EOBs) is critical for this position.
· Strong cognitive skills including analysis, problem solving, high attention to detail, and decision making.
· Great organizational skills
· Ability to work on multiple assignments concurrently within established timeframes.
· Ability to multi-task, establish and meet deadlines.
· Ability to work in a fast-paced environment and maintain accuracy.
· Strong verbal and written communication skills
· Ability to troubleshoot and recommend root cause solutions to problems.
· Above average organizational and time management skills
· Strong Microsoft Office experience with emphasis on Excel (intermediate to advanced)
· Knowledge of Federal, state and HIPAA privacy regulations
Responsibilities
· Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes.
· Communicates with and provides feedback to the education team and/or providers.
· Reviews patient charges to determine necessary coding to complete the account.
· Identifies principle and secondary diagnoses and procedure codes from the electronic medical record.
· Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.
· Sequences diagnosis and procedures to generate appropriate billing.
· Queries physicians to obtain diagnosis if not clearly provided in records.
· Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference material
· Assists other coders and medical billing specialist in resolving coding problems.
· Provides ICD-10 and CPT, for physician research projects, and for quality reporting purposes.
· Assists in correction of problem accounts.
· Reviews charts for completeness
· Participates in education and maintains certification.
· Assists in auditing records.
· Communicates effectively and demonstrates good interpersonal and professional skills when interacting with others.
· Resolves claim and billing edits as well as denials by performing second review of medical record documentation and assignments · Review and provide resolution of edits/warnings.
· Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI)
· Coder meets and maintains a production rate of 90% or higher.
· Coder meets and maintains an accuracy rate of 90% on all coded records.
· Other duties as assigned.
Benefits
· Health insurance
· Vision insurance
· Dental insurance
· Life insurance
· Vacation
· Competitive Compensation . Career Advancement Opportunities