Aultman Health Foundation
SENIOR CODER/BILLER – Aultman Health Foundation
4 weeks ago Be among the first 25 applicants
Job Description 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, the coder 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 functions include communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges.
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 record for missing documentation, incomplete tasks, 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 provider when 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 excepted level of team work 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 preferred but not required
Additional certifications helpful
Knowledge of accounts receivable goals and impacts
Ability to establish and organize daily workflow
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 Functions
Engineering and Information Technology
Industries
Hospitals and Health Care
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Canton, OH .
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Job Description 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, the coder 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 functions include communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges.
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 record for missing documentation, incomplete tasks, 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 provider when 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 excepted level of team work 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 preferred but not required
Additional certifications helpful
Knowledge of accounts receivable goals and impacts
Ability to establish and organize daily workflow
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 Functions
Engineering and Information Technology
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Aultman Health Foundation by 2x
Get notified about new Coder jobs in
Canton, OH .
#J-18808-Ljbffr