[Hiring] Coder I @Eisenhower Health

Role Description

Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate level of service, place of service, new versus established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services. Reviews and resolves simple NCCI, LCD and MUE edits.

Qualifications

• Required: High school diploma, GED or higher level degree
• Preferred: Enrolled in a coding certification program or holding an Apprentice Certificate in coding - CPC or CCS; courses in Medical Terminology, Anatomy and Physiology

Requirements

• Required: CPC-A, CPC, CSC or RHIT Coding Certification within eighteen (18) months of hire
• Required: One (1) year of experience in billing/charge capture coding or related services

Benefits

• Default Work Shift: Day (United States of America)
• Hours: 40
• Salary range: $23.97 - $36.42
• Schedule: Full Time
• Shift Hours: 8 Hour employee
• Department: Clinic Billing Services

Essential Responsibilities

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Maintains quality of work based on current published standards.
• Reviews documentation and sequences diagnoses and procedures using current coding guidelines for E&M and simple visit encounters.
• Completes claim information and validates for split or non-split payers.
• Communicates with Coder IIs, department management and clinic staff to obtain needed documentation to ensure correct billing.
• Completes assigned work queue assignments within departmental productivity standards.
• Obtains and maintains a 95% accuracy rate.
• Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient simple visit encounters.
• Performs other duties as assigned.