GENERAL SUMMARY OF DUTIES:
Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.
SUPERVISION RECEIVED: Billing & Coding Supervisor
Education/Experience
Certified Professional Coding Certificate.
Associate’s degree preferred or 5 years medical coding experience.
Must have functional knowledge of medical terminology, anatomy, and physiology.
Prior experience coding with ICD-10-CM.
Knowledge
Knowledge of clinic policies and procedures.
Knowledge of pain management coding, and Spine procedure coding
Knowledge of computer systems, programs, and spreadsheet applications.
Knowledge of medical terminology.
Knowledge of collection practices.
Knowledge of governmental, legal, and regulatory provisions related to collection activity.
Essential Functions:
Analyzes accurately outpatient charts, records all deficiencies, and assigns appropriate responsibility for completion.
Develops a system for and performs regular quality control reviews for accuracy.
Tracks problems, related to record completion, and reports these to the Supervisor.
Assures that records are available when requested. Controls record completion for medical staff.
Assures coding is completed on all patients within two working days of discharge, and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable.
Completes data entry, claim, and report generation.
Demonstrates a functional knowledge of all departmental operations and relates them to the company’s overall objectives.
Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores, suggests, and pursues professional enhancement opportunities for self.
Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers, patients, families, payors, physicians, and their office personnel, co-workers, and supervisors.
Performs other related duties as required necessary for this position, or as may be required to meet emergency situations.
Assures CPC certification is current.
Stays abreast of any changes in guidelines.
All other duties as assigned.
Skills
Skills in gathering and reporting claim information.
Skills in solving utilization problems.
Skills in written and verbal communication, as well as customer relations.
Skills in working with Windows based software systems.
Performance Expectations
Ability to code medical records with ICD-10-CM.
Well developed organizational and communication skills (both written and verbal).
Highly professional, confident, conscientious, and cooperative attitude.
Must be able to recognize and apply priorities, as well as exhibit attention to detail.
Excellent communication skills with various internal and external entities.
PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a normal office environment.
ENVIRONMENTAL/WORKING CONDITIONS:
Normal, busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
