Performs functions such as reviewing documentation and selecting the appropriate E&M service, procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. Remote position.

ESSENTIAL FUNCTIONS

• Reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents.
• Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned.
• Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines.
• Ensures that teaching physician documentation and billing requirements are met and are clearly reflected.
• Review provider coding and provide training and feedback on coding questions and issues.
• Assists billing and collections staff with denials and charge correction requests as needed.
• Resolves coding TES edits.
• Continually refreshes and applies knowledge of government regulations as they relate to coding and billing.

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED) preferred
• Certified Professional Coder (CPC) certification required; CPC-A will be accepted
• Prior auditing experience a plus but not required
  
  • Level and years of experience based on departmental needs
  • Extensive knowledge of CPT and ICD-10 coding
  • Knowledge of government regulations as they relate to teaching physician
  documentation and billing guidelines
  
  • Understanding of: the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements.

Experience

• Less than 1 year(s): Prior A/R, charge entry, billing and coding

Education

• High School-GED or better

Licenses & Certifications

• Cert Coding Spec - Phys

Skills

• Problem Solving
• Positive Attitude
• Team Player
• Integrity
• Decision Making
• ICD-10 Coding
• CPT Coding
• Interpersonal Skills

• EPIC
• Microsoft Excel

Behaviors

• Enthusiastic: Shows intense and eager enjoyment and interest
• Thought Provoking: Capable of making others think deeply on a subject
• Team Player: Works well as a member of a group
• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Functional Expert: Considered a thought leader on a subject
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Self-Starter: Inspired to perform without outside help
• Goal Completion: Inspired to perform well by the completion of tasks
• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work