Certified Coding Lead

Company: Fox Valley Surgical Specialists - Appleton WI

Job Title: Lead Certified Medical Coder

Department: Business Office

Immediate Supervisor Title: Revenue Cycle Manager

Job Supervisory Responsibilities: None

Hours: 40 hours per week, Monday – Friday 8:30-5:00

General Summary: A nonexempt position responsible for converting physician documentation to CPT and ICD-10 codes for billing purposes.

Essential Job Responsibilities:

• Code physician services for all encounters and procedures performed in the office, outpatient and inpatient settings.
• Assign and post appropriate ICD-10 and CPT codes using various resources.
• Resolve coding-related claim denials and write appeal letters.
• Interact with providers and clinical staff on coding and documentation questions.
• Answer coding/billing questions from patients, internal staff and outside offices.
• Act as a resource for other coding staff.
• Assign coding tasks to team members to ensure timely claim submission.
• Investigate coding related issues to find guidance and best practice.
• Review registration for all of the manually posted charges.
• Complete coding audits.
• Implement and update policies and procedures related to coding processes.
• Monitor the time and attendance of coding staff.
• Participate in the hiring of new coders.
• Train new coders.
• Facilitating monthly business office meetings along with billing lead.
• Hold the coding staff accountable to organizational goals.
• Participate in annual reviews for coding team.
• Present provider education and training on documentation requirements.
• Support and assist practice administration and physicians as needed.
• Attend webinars, workshops, and seminars to keep up with coding guidelines.
• Other duties as assigned.

Education: Certification by AAPC accredited coding program and ICD-10 certification is required.

Experience: Certified professional coder with 5+ years of experience.

Other Requirements: Must maintain coding certification by means of continuing education.

Performance Requirements:

Knowledge:

• Knowledge of coding practices and clinic policies and procedures.
• Knowledge of ethical standards of coding.
• Knowledge of Medicare and Medicaid policies.
• Knowledge of medical terminology, anatomy and physiology
• Knowledge of HIPAA regulations
• Knowledge of office policies and procedures to adequately respond to other staff members and patients.
• Comprehensive knowledge of insurance regulations and industry.
• Knowledge of computer systems, programs and applications.

Skills:

• Proficient skills in computer programs.
• Establishing working relationships with other staff and patients.
• Skill in written and verbal communication.
• Skill in planning, organizing, delegating and supervising.
• Skill in problem solving and decision-making.
• Skill in time organization.
• Skill in identifying and resolving accounting problems.
• Skill in dealing with multiple projects and interruptions.

Abilities:

• Ability to read and interpret medical charts.
• Ability to examine documents for accuracy and completeness.
• Ability to communicate effectively and work with others.
• Ability to enter data accurately and examine insurance documents.
• Ability to cover all other financial positions in the department in the event of an employee’s vacation, termination or illness.
• Ability to deal courteously with patients, staff and others.
• Ability to maintain confidentiality of financial matters.
• Ability to prepare comprehensive reports.
• Ability to work with and learn new computer systems and office equipment.
• Ability to work independently and meet deadlines as assigned.

Systems Used: Epic Professional Billing, Microsoft Outlook, Microsoft Word.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.

Work Environment: Remote after training in person in office along with monthly in office team meetings.

Mental/Physical Requirements: Requires sitting and standing associated with a normal office environment.

Job Type: Full-time

Pay: $25.00 - $32.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: Remote