Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (midlevel) services.
Candidates are eligible to work remote from the listed states: FL GA AZ TX AL
Responsibilities
Essential Functions
Reviews medical records and codes physician services utilizing current ICD10 CPT and HCPCS classifications systems.
Codes diagnosis comorbidities complications therapeutic and diagnostic procedures supplies materials injections and drugs with International Classification of Diseases (ICD10) Current Procedural Terminology (CPT) Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels)
Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
Submits to their direct management any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e. Insurance Denials)
Communicates effectively with physicians physician extenders physician offices members of the coding team and manager.
Utilizes resource material available in department to support accurate coding practices.
Maintains patient confidentiality.
Demonstrates good communication skills both verbal and written.
Maintains 90% accuracy rate.
Attends departmental and other meetings as scheduled.
Provides data for production reports.
Serves as mentor to Physician Coders I and Physician Coders II
Serves as Management support.
Maintains reasonably regular punctual attendance consistent with Orlando Health policies the ADA FMLA and other federal state and local standards.
Maintains compliance with all Orlando Health policies and procedures.
Other Related Functions
Participates in meeting department goals.
Maintains productivity standards as designated by management.
Assumes responsibility for own professional growth and development through educational programs research etc.
Maintains certification status.
Performs other related duties as assigned
Qualifications
Education/Training
High school diploma or equivalent.
Computer/typing literacy knowledge of Anatomy Physiology and Medical terminology required.
Thorough knowledge of CPT ICD coding as evidenced by results of coding skills test of 80% or better.
Licensure/Certification
One Of The Following National Certifications
Certified Professional Coder (CPC) through the American Academy of Professional Coders
Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
Certified Coding SpecialistPhysician (CCSP) through the American Health Information Management Association (AHIMA)
Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA)
Certified Medical Coder (CMC) through Practice Management Institute
Experience
Five (5) years certified coding experience in professional or physician practice coding.
Proficiency in multispecialty E/M coding is required
Proficiency in multispecialty minor bedside procedures is required
Proficiency in (1) specialty surgical coding is required and multispecialty surgical coding is desired
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