UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.
Coder PB | Revenue Cycle - Team 11 - Ortho | Days | Full-Time | CERTIFIED | REMOTE
Location
United States
Posted
3 days ago
Salary
Not specified
Seniority
Mid Level
No structured requirement data.
Job Description
Position Summary:
This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement.
Key responsibilities include:
- Providing physician education to ensure proper completion of Electronic Health Records (EHR).
- Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes.
- Delivering education verbally, in writing, and through hands-on training as needed.
Responsibilities
Responsibilities:
- Review clinical documentation and code to the highest level of specificity for accurate charge capture.
- Interact with providers to provide feedback and education using verbal, written, and hands-on communication methods.
- Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS codes for billed services.
- Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations.
- Communicate with physicians, business group personnel, clinical staff, and other relevant parties regarding coding-related questions.
- Manage coding-related edit work queues efficiently.
- Prepare documentation audits with written results and trend data; present findings to Providers, Department Chairpersons, and/or Compliance Officers.
- Maintain compliance standards according to internal policies and report compliance issues appropriately.
- Identify and account for missing charges and/or documentation.
- Perform coding work requiring independent judgment with timeliness and accuracy.
- Perform all other duties as assigned.
Qualifications
Qualifications:
Experience Requirements:
- Minimum 3 years of medical billing experience – Preferred
- Minimum 3 years of extensive experience in physician coding – Required
- Experience with medical management information systems and medical software – Required
Education:
- High School Diploma – Required
Certification / Licensure:
- Certified Professional Coder (CPC) – Required at time of hire
Additional Duties:
- Additional duties as assigned may vary
Equal Employment Opportunity Statement:
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.
Job Requirements
- Minimum 3 years of medical billing experience – Preferred
- Minimum 3 years of extensive experience in physician coding – Required
- Experience with medical management information systems and medical software – Required
- High School Diploma – Required
- Certified Professional Coder (CPC) – Required at time of hire
- Review clinical documentation and code to the highest level of specificity for accurate charge capture.
- Interact with providers to provide feedback and education using verbal, written, and hands-on communication methods.
- Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS codes for billed services.
- Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations.
- Communicate with physicians, business group personnel, clinical staff, and other relevant parties regarding coding-related questions.
- Manage coding-related edit work queues efficiently.
- Prepare documentation audits with written results and trend data; present findings to Providers, Department Chairpersons, and/or Compliance Officers.
- Maintain compliance standards according to internal policies and report compliance issues appropriately.
- Identify and account for missing charges and/or documentation.
- Perform coding work requiring independent judgment with timeliness and accuracy.
- Perform all other duties as assigned.
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