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SalaryWant to giggle while you work? We love to work with kids and their families, providing important care, which is both fun and purposeful.
As an Equal Opportunity Employer our team of experienced, talented professionals honors the company values of compassion, stewardship, excellence, integrity, flexibility, service, and inclusivity in everything we do – it is an integral part of who we are and what we seek in future employees.
Metro Pediatrics is your best choice for a career in pediatric medicine. If you enjoy a fast-paced, upbeat, and supportive work environment taking care of kids, we invite you to apply and become part of our outstanding team! Start your pediatric medical career today.
We encourage applicants to read more about our company and what we do at https://www.metropediatrics.com/medical-careers/
This role allows an hybrid in office/ work from home schedule upon completion of an initial training period, and approval from manger.
The Certified Coder/ Charge Capture 1 reviews all clinical and provider documentation and accurately code all diagnoses and procedures for all medical and behavioral services provided to patients in our clinics. Provide information and coding feedback to all applicable parties. Process all charges in a timely manner.
Essential Functions
- Audit and review encounter documentation in support of all diagnoses, level of service procedures, and professional services that were pre-selected by the clinic. Verify the accuracy of all charges and add missing charges as appropriate. Identify documentation and coding errors and work with providers and clinical staff to obtain proper coding and documentation.
- Enter and process newborn hospital charges and apply all claim and payer edits.
- Maintain a working knowledge of modifiers and their functions; apply as appropriate.
- Process all charges within four days of provider release.
- Maintain current working knowledge of medical and behavioral coding and diagnostic principles (e.g., CPT, HCPCS, and ICD-10-CM), government regulations, protocols, and third-party requirements pertaining to billing and documentation.
- Ability to understand billing guidelines and apply internal policies and procedures accordingly.
- Notify supervisor or manager of potential problems and/or suggestions for more accurate documentation or capturing of services rendered.
- Review, modify, and recommend changes to policies and procedures to improve professional fee coding and data management.
- Answer coding and billing questions in a timely manner.
- Work with other members of the Revenue Cycle team to configure accounts, resolve denials, conduct coding reviews, and correct claims.
- Maintain excellent customer service, safeguarding confidentiality of sensitive patient and financial information at all times.
- Display high standards of office conduct.
- Attend and actively participate in huddles and team meetings.
- Punctual, regular, timely, and dependable attendance.
- Successfully work in a fast-paced and changing environment with effective time management and ability to multitask and prioritize workload.
Metropolitan Pediatrics participates in E-Verify to confirm employees’ eligibility to work in the U.S.
- High school education or equivalent required.
- Post-secondary medical coding education required; certification required.
- Knowledge of medical terminology and medical abbreviations.
- Current coding certificate is required: CPC, CCS-P, RHIA, (CPC or CCS-P preferred).
- Current auditing and/or documentation certificate is preferred: CPMA or CDE
- 3+ years of experience with CPT, HCPCS, and ICD-10 coding, preferably pediatrics.
- 2+ years of experience with professional medical billing.
- 2+ years of experience with an Electronic Health Record (EHR) system, Epic preferred.
- Experience conducting and delivering provider audits (preferred)
- Working knowledge of Microsoft Office software (i.e., Outlook, Word, Excel, etc.).
