Posted: Sunday, July 9, 2017 9:20 PM
The Medical Coder II is responsible for the revenue cycle activities of specific physician practices. This includes but is not limited to Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question. Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Manage the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the PBO dept. to reduce and address claim issues and denials timely. Assists in the maintenance of the practice's charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department. Participation in on-going education relevant to practice specialty, assists in training for new employees and coverage. Work closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely. Participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues across group. Responds promptly to customer questions, provides excellent customer service and collaborates with other departments (PBO) throughout the organization. Demonstrates knowledge of computer applications. Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records. The Medical Coder performs other duties as assigned Requirements High School Diploma or Equivalent required. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required. At least 3 years work experience in a hospital environment. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations. Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word.
• Location: Buffalo
• Post ID: 28125523 buffalo