Job Description
Job Description:
Pay Range: $28.85hr - $32.65hr - In accordance with current federal coding compliance regulations and guidelines, use current ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems to accurately abstract, reconcile and review procedure and physician documentation in order to code, and enter into PBAR, Cerner or other electronic medical billing systems.
- Understands coding/billing computer systems in a manner to assure bills drop timely with appropriate codes.
- Meet the productivity and accuracy/quality standards including, but not limited to 98% of CCL charges entered into the electronic medical billing system within 3 days of date of service.
- Work collaboratively with physicians, staff and management to identify opportunities for improving charge capture, accuracy and timeliness of entry into electronic billing systems.
- Recommendations for staff education and process improvement will be escalated to the CCL Manager.
Minimum Education/Experience:
- Specialized/Technical Training - Graduation from a formal coder training program or completion of academic class in medical coding.
- Combined experience/education as a substitute for minimum education.
- 2+ years with hospital coding or charge audit expertise.
- Combined experience/education as a substitute for minimum education.
- Two additional years of coding experience may be substituted for education requirements.
Primary Accountabilities:
- Support Soarian Financials Billing Edits and Billing Processes.
- Reviews and reconciles procedure documentation with supply charges and physician documentation.
- Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, CPT coding to accurately capture services provided.
- Enters Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR).
- Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
- Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physicians.
- Reviews, reconciles and corrects Cardiac Cath Lab charges in Cerner.
- Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
- Provides completed patient data to billing staff or designated personnel.
Must Have:
Education and Experience:
- Graduation from a formal coder training program or completion of an academic class in medical coding.
- 2+ years of hospital coding or charge audit experience.
- Two additional years of coding experience may substitute for educational requirements.), HS Diploma (or equivalent - GED) is a MUST.
Coding Knowledge and Skills:
- Proficiency with ICD-10-CM/PCS, CPT-4, and HCPCS code sets/systems.
- Experience with electronic medical billing systems such as PBAR and Cerner.
- Understanding of federal coding compliance regulations and guidelines.
ccuracy and Productivity:
- bility to meet productivity and accuracy/quality standards, including entering 98% of CCL charges into the electronic billing system within 3 days of the date of service.
Collaborative Skills:
- Experience working collaboratively with physicians, staff, and management to identify opportunities for improving charge capture and billing accuracy.
- Error Resolution and Process Improvement.
- Capability to review, reconcile, and correct charges and documentation errors.
- bility to provide recommendations for staff education and process improvements to the CCL Manager.
Nice to Haves:
Technical Proficiency:
- Familiarity with Soarian Financials Billing Edits and Billing Processes.
dditional Skills:
- Experience in reviewing and editing previously submitted charges due to billing errors or insurance requirement changes.
- bility to consult with medical providers to clarify record information and determine appropriate codes.
dditional Experience:
- Experience in reviewing and reconciling charges in other electronic medical billing systems beyond PBAR and Cerner.
- Experience with cardiac Cath lab procedures and charges.
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