Medical Coder - Start Immediately

The primary purpose of the Medical Coder is to analyze provider documentation to determine the principal diagnosis, secondary diagnosis and any procedural codes relevant to a patient’s visit. A medical coder is required to utilize Dermcoder software applications, which includes all applicable online tools and references in the assignment of ICD diagnosis and procedure codes and CPT/HCPCS codes. He/ she must perform analysis to determine appropriate link of diagnosis to procedure when applicable. Appends modifier(s) to procedure or service code when applicable. Interprets bundling and unbundling guidelines (NCCI) and LCD/NCDs and payer polices.

Essential Duties and Responsibilities

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive:

·         Follows all privacy requirements as outlined in practice policy and HIPAA

·         Assign codes to diagnoses and procedures, using ICD and CPT codes

·         Ensure codes are accurate and sequences correctly in accordance with government and insurance regulations

·         Follow up with provider on any documentation that is insufficient or unclear

·         Communicate with other clinical staff regarding documentation needs

·         Search for information in cases where the coding is complex or unusual

·         Review office charges to determine if coding is appropriate and charges are correct

·         Ensure all codes are current and active.

·         Assist billing manager to with audits and coding reviews to ensure all documentation is accurate and precise

·         Collaborate with billing department to ensure all bills are satisfied in a timely manner

·         Work with denial team to review any coding related denials and make necessary changes to the claim so they can be appealed.

·         Submit claims to insurance carriers

·         Work rejected claims through Trizetto

·         Reconcile labs needing attention against what is being billed for path

·         Handle billing related calls through the phone queue

·         Other duties as assigned

Job requirements

·         Must be able to multi-task

·         Work well independently and be a team player

·         Ability to focus with constant interruptions

·         Possess strong customer service and problem resolution skills

·         Laudable oral and written communication skills

·         Action oriented, organized and detailed

·         Advanced computer skills

Experience

Minimum of 2 – 6 years in “high volume” dermatology medical office

Requirements

·         High school graduate

·         Medical coding certificate such as CPCD, CPC, CCS, CCS-P, CCA through AHIMA or AAPC