Department: UHC: FPBO - Coding
Job Summary: The Coder 1-FPBO accurately assigns diagnosis codes based on documentation and appropriate modifiers for payer type. Follows coding initiative (CCI) guidelines for optimal reimbursement. Maintains Charge Tracker log for offsite hospital charges. Works assigned work queues in LLEAP. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Minimum 6 months of current Diagnostic coding (ICD-9/10) experience and CPT. Must have working knowledge of medical billing/auditing/collection experience for all insurances and third party claims. Experience on EPIC system preferred.
Knowledge and Skills: Current working knowledge of billing/auditing/collections for all payer types. Must have current working knowledge of modern office practices and working knowledge of all insurance types and their guidelines. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Good oral and written communication skills. Works well in group settings and communicates professionally with providers. Able to make logical decisions and comprehends verbal and written instructions. Requires ability to function well in a multi-tasking environment. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Current Certified Procedural Coder (CPC), Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS) Certificate required and must be maintained.