Coder III

Essential Duties and Responsibilities: 

Include the following. Others may be assigned. 

• Performs all assigned billing in a timely manner 


• Communicates with the physician the documentation needed to complete job functions 


• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code 


• Updates patient record with patient’s current insurance, address and telephone numbers 


• Identifies primary care doctor and referral source with contact information and documents it in the medical record 


• Performs claims follow up and reviews with billing agent in a timely 


• manner 


• Protects patient confidentiality according to HIPAA guidelines 


• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines 


• Identifies and attends one course/conference per specialty, per year to continue education in the coding field 

EDUCATION / EXPERIENCE 

Include minimum education, technical training, and/or experience required to perform 

the job. 

• AA Degree required 


• Bachelors Degree preferred 


• 5 years coding experience required 


• Healthcare background is required 


• CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required 


• Coding scheme and reimbursement practices required 


• RHIA, RHIT, CCS, CPC or COC certification is required 


• Office, and Excel required 


• Willingness to be flexible and adaptable in a complex, matrix environment
  
  
  #LI-JK1