Aultman Health Foundation
Overview
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SENIOR CODER/BILLER
role at
Aultman Health Foundation . Job Description: Aultman Medical Group/Professional-Senior Billing Specialist. Position Summary: The primary responsibility of this position is to review, analyze and/or assign ICD-10 Diagnosis and CPT Codes for all E & M, procedural and/or surgery codes for professional billing. Also, should be able to code for Professional Inpatient vs Observation status. Other responsibilities include revenue integrity functions including charge capture, timely charge entry, revenue improvement initiatives and compliant documentation review. Job function includes communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges. The candidate may also be expected to assist in performing other administrative tasks as assigned and assisting other areas of the Revenue Cycle or Clinical divisions as necessary.
Primary Responsibilities
Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Proficiently analyze ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Audit medical records for missing documentation, incomplete tasks, or unordered codes to prevent loss of revenue
Apply all NCD, LCD, MUE and CCI guidelines when coding or analyzing
Code to the highest specificity and educate the provider when an unspecified code is used but documentation supports a more specific code
Verify providers are capturing quality indicators and educate if missing
Maintain suitable knowledge of coding, compliance, governing bodies, and reimbursement policies according to the coding related to the specialty assigned to code
Responsible for open encounters and zero charge communication and tracking
Effective verbal and written communication with office staff, providers and AMG leadership
Meet/Exceed established productivity expectations
Meet/Exceed established quality expectations
Perform additional administrative tasks as assigned
Maintain attendance according to departmental standards
Meet/Exceed internal CEU hourly requirements
Complete safety evaluation, JCAHO education, Confidentiality, Information system usage, HIPAA corporate compliance education on an annual basis
Exhibit expected level of teamwork and respect
Desired Job Qualifications/Skill Sets
1-year minimum coding experience in a Physician office or Outpatient hospital setting mandatory. Abstraction of codes preferred
RHIA, RHIT, CCA, CCS or CPC required or preferred
Additional certifications helpful
Knowledge of accounts receivable goals and impacts
Ability to establish and organize daily work flow
Solid computer skills (Microsoft Office, encoder and other hospital software applications)
Ability to manage multiple demands from a variety of constituents
Seniority level Mid-Senior level
Employment type Full-time
Job function Engineering and Information Technology
Industries Hospitals and Health Care
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Join to apply for the
SENIOR CODER/BILLER
role at
Aultman Health Foundation . Job Description: Aultman Medical Group/Professional-Senior Billing Specialist. Position Summary: The primary responsibility of this position is to review, analyze and/or assign ICD-10 Diagnosis and CPT Codes for all E & M, procedural and/or surgery codes for professional billing. Also, should be able to code for Professional Inpatient vs Observation status. Other responsibilities include revenue integrity functions including charge capture, timely charge entry, revenue improvement initiatives and compliant documentation review. Job function includes communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges. The candidate may also be expected to assist in performing other administrative tasks as assigned and assisting other areas of the Revenue Cycle or Clinical divisions as necessary.
Primary Responsibilities
Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Proficiently analyze ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Audit medical records for missing documentation, incomplete tasks, or unordered codes to prevent loss of revenue
Apply all NCD, LCD, MUE and CCI guidelines when coding or analyzing
Code to the highest specificity and educate the provider when an unspecified code is used but documentation supports a more specific code
Verify providers are capturing quality indicators and educate if missing
Maintain suitable knowledge of coding, compliance, governing bodies, and reimbursement policies according to the coding related to the specialty assigned to code
Responsible for open encounters and zero charge communication and tracking
Effective verbal and written communication with office staff, providers and AMG leadership
Meet/Exceed established productivity expectations
Meet/Exceed established quality expectations
Perform additional administrative tasks as assigned
Maintain attendance according to departmental standards
Meet/Exceed internal CEU hourly requirements
Complete safety evaluation, JCAHO education, Confidentiality, Information system usage, HIPAA corporate compliance education on an annual basis
Exhibit expected level of teamwork and respect
Desired Job Qualifications/Skill Sets
1-year minimum coding experience in a Physician office or Outpatient hospital setting mandatory. Abstraction of codes preferred
RHIA, RHIT, CCA, CCS or CPC required or preferred
Additional certifications helpful
Knowledge of accounts receivable goals and impacts
Ability to establish and organize daily work flow
Solid computer skills (Microsoft Office, encoder and other hospital software applications)
Ability to manage multiple demands from a variety of constituents
Seniority level Mid-Senior level
Employment type Full-time
Job function Engineering and Information Technology
Industries Hospitals and Health Care
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