Coder - Urgent Care/Grandover Village

Coder - Urgent Care/Grandover Village

ID

2024-26289

Location

Urgent Care - Grandover Village

Work Location

US-NC-Greensboro

Division : Name

Ambulatory

Department : Name

AMBSVC-Urgent Care Grandover

Category

PROFESSIONAL/MNGMNT

Position Sub-Category

MEDICAL RECORDS

Position Type

Full Time (40 hours/week)

Employment Type

Employee

Exempt/NonExempt

Non-Exempt

FTE

1.00

Workforce Status

Hybrid I

Work Hours

40.00

Provider Schedule (specific schedule)

Monday-Friday 8a-430p

On call Required

No

Sub Category

Medical Records

Overview

Responsible for accurate coding and abstracting of medical information for billing and statistical purposes, and entering the information into a computerized database.
Talent Pool: Corporate Services/Professional
Responsibilities

Productivity metrics for coding system-based inpatient and outpatient charges, including manual submissions, are consistently met based on departmental standards.
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Reviews clinical documentation to ensure that diagnosis codes assigned are accurate and makes changes as necessary. Maintains a quality metric of 96%.
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CPT/HCPCS Coding Accuracy: (a) Reviews evaluation and management codes captured by physicians to insure the codes are consistent with the clinical documentation. Uses the palmetto GBA E&M Review Checklist and Scoresheet Form to validate code capture of office visits. Makes changes as necessary. (b) Reviews charge capture of chemo services (i.e. drugs and administration) and other ancillary services (i.e. blood transfusions, etc.) for accuracy and makes changes as necessary. Translates medication dosages into billing units (quantity). Maintains a quality metric of 96%.
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Follows up with clinical staff for missing documentation or clarification of charges (i.e. missing dictation, missing charges, etc.) Maintains a positive and open line of communication with clinical staff.
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Performs assigned duties based on departmental guidelines. Daily export; assigns PD modifier as applicable per review of the census report; review Clinical Research Patient List to ensure clinical trial drugs are not billed.
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Stays current with coding policies and applies them to daily tasks. Uses reference tools to insure coding accuracy (3M, CodeCorrect, ICD-9/CPT/HCPCS manuals, etc.) Notifies management as necessary for needed coding updates to the system.
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Qualifications

EDUCATION:

High School Diploma or equivalent, Required
Associates, Healthcare Related Field, Preferred
Required:
- Completion of a formal course of study in medical terminology, disease processes, anatomy, and physiology.
- Completion of a formal course of study in medical coding, billing and regulatory compliance.
EXPERIENCE:

1 - 2 Years, Related Experience, Required
2 + Years, Related Experience, Preferred
LICENSURE/CERTIFICATION/REGISTRY/LISTING:

REQUIRED
PREFERRED
Coding credential/certification preferred.