MEDICAL CODER III - FULL TIME

Description

Essential Functions

• Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately. 
• Must possess strong analytical and research capabilities to review physician and nurse documentation.
• Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.
• Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.
• Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.
• Communicates coding changes and/or questions to Physicians’ offices to appropriate staff.
• Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.
• Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day and makes necessary changes to release charges to billing system.
• Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.
• Consistently stays within department goal for lag time for productivity accountability.

Requirements

Required Education and Experience: Education: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required.

Experience: 5 or more years of experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes.

Additional Eligibility Qualifications: Must have a minimal of CPC or COC with a specialty certification from the AAPC or equivalent organization.