MEDICARE E & M AUDITOR/ TEMP-TO-HIRE
CPC REQUIRED
CERTIFIED AUDITOR NOT REQUIRED
Orthopedic experience
ATHENA PM/EHR system
Summary
CPC to review E & M coding levels, audit of charges for Orthopedic practice
Essential Duties and Responsibilities
Review E & M codes for the appropriate coding levels, give feed back regarding audit
coding for time based
coding audit worksheets
review clinical documentation
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
C
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests.
Written Communication - Writes clearly and informatively.
Conflict Resolution - Encourages open communications; maintains objectivity.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED). Minimum 5 years of medical billing and account follow up experience. Certified Patient Coder-must have
Knowledge of ICD-10 , CPT, and the use of modifiers preferred. Familiar with CMS 1500 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.
Knowledge of physician billing and /or collections. Typing speed 55 wpm and the ability to use a calculator.
CPC REQUIRED
CERTIFIED AUDITOR NOT REQUIRED
Orthopedic experience
ATHENA PM/EHR system
Summary
CPC to review E & M coding levels, audit of charges for Orthopedic practice
Essential Duties and Responsibilities
Review E & M codes for the appropriate coding levels, give feed back regarding audit
coding for time based
coding audit worksheets
review clinical documentation
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
C
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests.
Written Communication - Writes clearly and informatively.
Conflict Resolution - Encourages open communications; maintains objectivity.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED). Minimum 5 years of medical billing and account follow up experience. Certified Patient Coder-must have
Knowledge of ICD-10 , CPT, and the use of modifiers preferred. Familiar with CMS 1500 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.
Knowledge of physician billing and /or collections. Typing speed 55 wpm and the ability to use a calculator.