Job Description

Under the direct supervision of the Coding Manager and in collaboration with the CFO & Director of Revenue Cycle Management, the Coder II for Eastern Division Physician Groups is responsible for assigning specialty ICD-9-CM diagnosis codes, CPT-4 procedure codes and HCPCs codes as appropriate in conjunction with the observation of records in order to ensure timely capture of charges so that maximum reimbursement is achieved and a valid database is available for research, reporting, quality and improvement activities. The Coder II is also responsible for the accurate and timely electronic billing of claims to designated payors and the Medicare intermediary; follow-up and collection of amounts due for services rendered. Process bills to insurance companies and patients in accordance with practice policies to insure account balances are collected.  Handles telephone and correspondence inquiries and follow-up regarding patient account billings. The Coder II will also utilize specialized Coding/Billing knowledge to assist in the ongoing training of current and future Permian Premier Clinic staff.  


Receives and reviews charge documents for accuracy.

Reports on missing, incomplete, or inconsistent documentation to appropriate personnel.

Educates providers and clinic staff of proper fee ticket completion and assignment of ICD-9-CM and HCPCS codes.

Acts as a resource for Practice Managers, Physicians and CBO regarding insurance denials resolution and coding questions.

Works with Corporate Compliance and Risk Management as requested

Performs accurate charge entry in a timely manner.

Accepts and posts co-pays, and balances charge posting.

Keeps Coding Manager informed of the status of unbilled charges.

Maintains a coding accuracy of 95%.

Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations.

Assists with research for complex billing and coding issues.

Maintains coding certification and attends in-service training as required.

Completes assigned training and education.

Performs other duties as determined by the Coding Manager.



Qualifications

High School Diploma required. 

Coding certification is required. CPC, CPC-I, and CPC-O certifications highly preferred.

Three or more years experience in E&M coding.

Five (5) or more years of coding experience working with mulit-speciality physician practices in a Surgical setting highly preferred.

Demonstrated computer skills with data entry, coding, and Electronic Medical Record software.

Demonstrated experience with NextGen EMR software.

Thorough understanding of medical terminology, anatomy and physiology.



Equal Opportunity Employer Minorities/Women/Veterans/Disabled

 


Application Instructions

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