Role Description
The Outpatient Pro Fee Coder is responsible for timely, accurate and comprehensive abstraction of physician services from the medical record by utilizing knowledge of industry standard ICD-10 CM and ICD-10 coding. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience.
Job Responsibilities
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Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract physicians professional services and diagnosis codes.
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Follows Official Coding Guidelines and rules in order to assign appropriate ICD-10 CM and ICD-10 codes and modifiers with a minimum of 98% accuracy.
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Provides documentation feedback to client and or account manager.
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Maintains coding reference information.
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Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty.
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Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.
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Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD 10 codes and modifiers.
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May collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
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May work with Revenue Cycle staff and Account inquiry unit staff as requested.
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Assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information.
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Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
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May perform other duties as assigned.
Qualifications
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High School diploma or equivalent.
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Required AHIMA or AAPC Certification.
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CPC, CPC-M, CPMA, CEMC or CCS-P preferred.
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Experience with Epic.
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1+ years of experience in outpatient profee medical coding.
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Ability to work independently and within a team atmosphere.
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Advanced and proficient knowledge of ICD-10 CM and ICD-10.
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Self-motivated and passionate about our mission and values of quality work.
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Must have professional level skills in MS products such as Excel, Word, Power Point.
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Must be able to type proficiently and with an effective pace.
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Proficient application of business/office standard processes and technical applications.
Benefits
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Flexible work hours when possible.
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A genuine sense of belonging to a dynamic and growing organization.