Job Description

Properly codes Professional services and outpatient hospital technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers.

Minimum Qualifications

A high school diploma or equivalent and three years of multi-specialty coding experience. The senior coder must be proficient in coding Professional services, and Outpatient hospital services. Must also have experience with communicating, training, and education providers in proficiency.

Preferred Qualifications

• Specialty specific – (to be determined by coding manager when posting)

LICENSES, REGISTRATIONS OR CERTIFICATIONS

Required: CPC, CPCHA coding certification from AAPC or CCA, CCS, or CCSP coding certification from AHIMA

Essential Job Functions

• Works coding related charge review and claim edits daily to ensure timely and accurate billing. The Coder should also research and resolve all coding related issues and assists in meeting productivity and quality standards.

• Conducts the quality review of outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles. Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.

• Work all WQ PB/HB errors daily

• Educate and offer feedback to physicians and staff as needed to ensure that documentation is complete, accurate, and compliant with guidelines.

• Maintain acceptable productivity level and keep Pre/AR at or below departmental standard.

• Actively participate in team functions such as team meetings, educational sessions, and team projects.

• Adheres to internal controls and reporting structure

Knowledge / Skills / Abilities

• Strong written and oral communication skills

Salary Range

Actual salary commensurate with experience.

Work Schedule

Monday through Friday, 8am to 5pm and as needed on occasion.