Position Summary: Under the direction of the executive team, perform various duties to accurately interpret and support medical billing processes, to include review of CPT and ICD10 for proper code capture. Use critical thinking skills and effective communication to provide education to billing staff and providers, while supporting on-going development of proper documentation and coding compliance.
Minimum Qualifications:
High school diploma
Certified Professional Coder through AAPC or AHIMA
Minimum of 2 years professional work experience
Good working knowledge of medical terminology and anatomy
Personal skills:
Ability to work independently
Critical thinking skills
Excellent communication skills with the ability to educate and enforce policy
Understand the medical risk environment and how coding impacts financial
stability and compliance
Commitment to maintain coding certifications
Key responsibilities:
*Review medical records in Epic and NextGen EHR systems to determine accurate use of CPT and ICD10 codes submitted for billing. This will include ensuring adequate documentation to support level of service, components of the CPT code are met, and adequate documentation is present to support all diagnosis codes submitted.
*Identify and communicate documentation deficiencies to providers and staff
*Conduct educational seminars within the company for staff and providers
*Work with the executive team to develop and communicate coding policies and procedures
*Develop effective communication for coding queries/education with individual practices
*Understand governmental compliance standards and ensure documentation is meeting or exceeding those standards
*Participate in discussions and problem solving to ensure compliance
*Take ownership in assigned job duties, special projects and research to create action plans for improvements where needed
*Communicate with, educate, and answer inquiries from billing staff
*Communicate with, educate, and answer inquiries from providers and their staff
*Communicate with payers as needed to support proper medical billing and reimbursements
*Travel to provider offices to provide education/insight when needed
*Report to work meetings and professional obligations on time
*Participate in staff meetings and attend training sessions as needed
*Participate in professional development and educational sessions to maintain certifications
*Perform other duties as assigned by management
*Adhere to all corporate and HR policies and procedures
Job Type: Full-time
Pay: $25.00 - $30.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work setting:
- Hybrid work
- Office
License/Certification:
- Certified Professional Coder (Required)
Ability to Relocate:
- Zanesville, OH 43701: Relocate before starting work (Required)
Work Location: Hybrid remote in Zanesville, OH 43701