Certified Coder

Description

1. Check minimum of two providers encounters as directed by billing manager each day before they are entered in the system; verifying - insurance, check all elements of the chart to make sure the correct level visit is coded, check to see if all tests and procedures are billed for correctly, and chart is closed by provider. Follow up with the providers when needed.
2. Train and be a backup for new or seasoned Billing Representative – Charge Processor
3. Responsible for communicating updated codes to the Director and Manager of Billing Services
4. Keep current on any new ICD-10, CPT and CDT codes
5. Present new codes that could be billed to supervisor for approval
6. Test approved new codes with a PDSA completed verifying the outcome, monitoring effectiveness for six months
7. Review open encounter report daily to complete the charge process for the entire organization
8. Follow-up on all Behavioral Health and SBHC patient responsibility visits
9. Close and reconcile journal at the end of each shift
10. Cover for other Billing staff as needed
11. To engage in Patient Centered Medical Home initiatives, including participating as part of the Clinical Care Team
12. Other duties and responsibilities as may be requested by supervisor and/or management

Requirements

Certified Medical Coder

Must maintain current knowledge of coding guidelines

High school graduate or GED

Verbal and written communication skills

Demonstrate proper judgment and decision making skills

Comply with the organizations code of conduct, safety rules and adheres to all company policies

Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner

Must demonstrate computer proficiency with Microsoft Suite and the practice management system

Must possess the ability to display compassion and work well in stressful situations

Must be keenly aware of the importance of confidentiality in all aspects of the position