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Certified Medical Coder

Full Time

Certified Medical Coder

Interested and Qualified Candidates Send Resume To: dmorrison@orthosouth.org.

Qualifications

  • Certified Medical Coder minimum two (2) years coding experience
  • Medical billing experience a plus
  • Knowledge of medical terminology
  • Ability to assign correct diagnostic and procedural codes using ICD-10-CM, CPT and HCPCS guidelines for provider documentation
  • Review, verify, and abstract clinical documentation, patient charts and diagnoses for accuracy
  • Identify billing or documentation discrepancies and recommend corrective actions or file appeals and/or contact payors directly
  • Ensure all coding practices adhere to federal, state and insurance regulations, maintaining HIPAA compliance
  • Ability to work under pressure and multitask
  • Ability to communicate clearly and effectively both verbally and in writing with providers, leadership, coworkers, payors, and other coding resources as assigned
  • Must utilize excellent customer service skills
  • Ability to operate a computer, and office programs and software as assigned
  • Ability to always maintain confidentiality meeting HIPAA requirements
  • Ability to meet or exceed personal goals
  • Must work with coworkers and leadership in meeting/exceeding team goals
  • Ability to work independently on work assignments to maintain work balance to achieve/exceed all goals

Responsibilities

  • Reviews and transcribes patient records into standardized insurance and medical coding systems to process reimbursement claims and ensure strict regulatory compliance
  • Updating codes with correct CPT, ICD-10-CM, modifiers, units or NDC codes when applicable
  • Communicating with providers for corrections
  • Identifies problem accounts with billing and with payors; investigates and corrects errors, follows-up and resolves past due claims and / or patient responsibilities.
  • Research Insurance Policies and educate providers and billing department.
  • Answer inquiries in person or by phone or email regarding coding and insurance guidelines.
  • May need to call attorneys, employers, Insurance companies, physicians and others necessary to obtaininformation for resolution of billing or coding matters.
  • Prepare and present Coding presentations for providers periodically as well as onboarding
  • Prepare reports to identify and resolve receivable issues on claims and patient responsibility
  • Prepare and submit coding appeals,
  • Compose correspondence, memos, letters, etc as needed
  • Data Entry
  • Performs other duties as assigned

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