Job Description

MAIN FUNCTION:

To provide coding expertise in record review for ICD-9, ICD-10, CPT-4, and HCPCS coding to maximize reimbursement and maintain Best Coding Practices & carrier compliance. Current coding certification: CPC/CPC-A (AAPC) or will attain coding certification within 12 months of hire and maintain coding certification(s).

DUTIES AND RESPONSIBILITIES:

CODING :

• Reviews medical records and documentation of assigned departments to ensure accurate coding submission to claims systems.

• Communicates appropriately with providers through RAI assignment when coding needs additional information and/or correction and/ or when best coding/documentation practices are not applied and followed.

  RECEIVEABLES MANAGEMENT:

  Performs limited coding research as needed, in order to appropriately and accurately assist customer service with patient questions regarding their coding/billing.

  OTHER:

• Oversees medical record documentation to ensure that services provided are accurate.

• Is responsible for attending all annual mandatory educational programs as required by position. Also required to attend AAPC webinars that correlate to their assigned work.

• Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer’s needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with the Arnot Health.

• It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.

  EDUCATION:

  High school diploma or equivalent with additional course work at approved coding seminars or courses. Accounting or bookkeeping background preferred ) Coding Experience Required. Education may be substituted for work experience.

  EXPERIENCE:

  Must have knowledge of ICD-9, ICD-10, CPT-4, and HCPCS coding for physician billing and current knowledge of E/M standards and specifications. Reimbursement and billing experience in Medicare B, Medicaid and other third party payers and data entry experience in a physician billing environment a plus.

  CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:

  No CPR required.

  PHYSICAL DEMANDS:

  Long periods of sitting, light lifting. Typical office job.

  EXPOSURE CATEGORY:

  Category III. Tasks that involve no exposure to blood, body fluids, or tissues. And Category I tasks are not a condition of employment.

  ** A.D.A Essential Functions

Requirements