Billing Coder II
The Certified Coder II assigns the proper ICD-9 and CPT codes to every encounter according to the coding guidelines as well as the internal Policies and Procedures.
Responsible for review and analyses of Clinical and Surgical Records for E and M levels and procedures in order to assign appropriate CPT’s, ICD-9 and ICD-10 codes.
- Responsible for review, analyses of medical records in order to assign appropriate CPTs, ICD-9 and ICD-10 codes for inpatient and outpatient consultations, inpatient visits and office visits for new or established patients.
- Responsible for analyses as well as resolution of coding edits. .
- Keys clinical charges and payment information into billing system.
- Reconciles all un-posted charge slips at the end of each day and also at the end of month.
- Assists with answering calls from cashiers regarding coding and pricing of clinic charges and provides any information requested.
- Assure excellent customer service through continuous training.
- Meets expectations/deadlines for month end closing.
- Adheres to company policies and procedures as described in employment handbook and company work rules
- Maintains strict confidentially in accordance with NMOA and HIPAA guidelines
- Plans for professional growth and continuous development through participation in professional seminars, workshops, and affiliations keeping abreast of latest trends in field of expertise.
- Regular and reliable attendance required as well as attendance at NMOA meetings as assigned by the Supervisor.
- Perform other duties as assigned.
SUPERVISORY RESPONSIBILITIES: N/A
KNOWLEDGE, SKILLS AND ABILITIES:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
- Knowledge of legal and regulatory guidelines pertaining to coding practices and procedures.
- Knowledge of procedure coding and ability to review medical records to identify billable services and assign codes appropriately.
- Knowledge of E and M CPT coding and ability to review medical records in order to identify billable services and assign codes appropriately in both outpatient and inpatient setting.
- Working knowledge of medical anatomy, terminology, HCPCS, ICD-9, ICD-10 and CPT coding.
- Knowledge and experience in healthcare software management systems (ie Cerner, and GE, Provation, MedTek, Epic )
- Skill in working with Microsoft Office products such as Excel and Word.
- Working knowledge of electronic editing systems.
- Ability to read, analyze and interpret medical information, technical procedures and/or general business information.
- Ability to communicate effectively both orally and in writing.
- Excellent interpersonal skills to clearly communicate medical information to professional practitioners
- Knowledge of New Mexico Orthopaedics policies and procedures.
- Requires ability to identify and implement opportunities to improve performance of the department.
- High integrity, including maintenance of confidential information.
- Ability to work a flexible schedule, including early mornings, evenings and/or weekends.
- May be assigned to or transferred to any clinic location, depending upon business need.
EDUCATION AND/OR EXPERIENCE:
Associates Degree preferred. High School diploma or GED and 2 or more years directly related experience to the duties and responsibilities specified after obtaining Certification.
CERTIFICATIONS, LICENSES, REGISTRATIONS:
Certification in at least one of the following: RCC, CCS, CCS-P, CPC, RHIA, or RHIT
PHYSICAL DEMANDS AND WORK ENVIRONMENT:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Requires vision correctable to 20/20 and hearing in the normal range for face-to-face and telephone contacts.
Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
Noise level in the work environment is usually moderate.
Job Status: Full Time