AMAC
  • 18-Oct-2017 to 17-Dec-2017 (PST)
  • Certified Coder
  • Marietta, GA, USA
  • Based on Experience
  • Hourly
  • Full Time

Medical, Dental, Vision


JOB FUNCTIONS                

  • Review charge documentation from the clinic and/or hospital
  • Accurately assign diagnosis  and enter procedure codes into billing system using ICD-10-CM, CPT-4, HCPCS  and other appropriate coding systems
  • Perform regular auditing of coding throughout the practice, communicate findings to management, and provide recommendations based on the audit findings
  • Communicate effectively with physicians and staff regarding correct coding and documentation processes
  • Review daily reports for coding exceptions and follow up as required
  • Work with A/R team on follow up and resolution of coding related denials and rejections
  • Monitor professional publications, payer publications, and websites to remain up to date on coding changes relevant to the practice and communicate as necessary
  • Confirm patient demographic, insurance and referring physician information is accurately entered into medical management system
  • Confirm insurance verification and authorizations, as required
  • Communicate with Accounts Receivable Specialist regarding insurance authorizations
  • Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines
  • Enter all CPT and ICD-10 into the practice management system for charge processing
  • Respond to audit findings and make applicable coding additions or corrections
  • Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates
  • Update computer system and note section in patients account with any changes made to patient information or as otherwise dictated by company policy and procedure
  • Confirm all appropriate charges are received and completed each week, and meets required regulations
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations
  • Other projects as assigned

REQUIREMENTS

  • Certified Coder,  e.g., CPC, CCS-P,  or ROCC
  • Knowledge of coding including CPT-4, HCPCS II, and ICD-10-CM
  • Minimum of three years of coding experience in a healthcare setting
  • Ability to understand and interpret clinical documentation and follow the department billing processes at a detailed level
  • Excellent verbal and written communication skills
  • Must be detail-oriented and able to meet targeted deadlines
  • Experience with Microsoft Office

Preferred Experience

  • Knowledge of radiation oncology coding
  • Centricity Practice Solution experience preferred

 

EDUCATION/CERTIFICATIONS:

  • High school diploma or equivalent required
  • Certified Coder,  e.g., CPC, CCS-P,  or ROCC
AMAC
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