SUMMARY:

Codes and enters office and hospital charges, procedures, performs audits, investigates coding and billing issues, recommends corrective actions, ensures compliance with federal and commercial coding and billing guidelines.

DUTIES & RESPONSIBILITIES:

Codes and enters Interventional procedures, Cardiothoracic, Vascular surgery and professional services performed in the Hospital, ASC, and SNF services.

Reviews and corrects billing records with inconsistent information and/or containing discrepancies. Informs physicians and staff of corrections made.

Assists with audit requests from government and commercial insurances.

Works with third party software(PMD) in managing hospital services

Reviews coding denials/edits and appeals/corrects billed charges.

Prepares reports as requested for productivity and credentialing.

Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures.

Organizes and participates with annual physician E&M audits.

Attends meetings and travels to other locations as necessary.

Reviews medical records to validate that the appropriate codes were captured and documented in medical records ensuring compliance with HCC coding and documentation standards.

Submit statistical data for analysis and research by other departments.

Responds to coding and billing questions from physicians and staff.

Informs management of issues or concerns identified with coding and billing practices.

Provides feedback and education to physician and professional staff regarding changes in coding methodology.

Attends meetings and travels to other sites as necessary.

Performs other duties as assigned or required.

REQUIREMENTS:

CPC Coding and/or equivalent certifications.

2-4 years in Medical Coding, preferably in Cardiology, and/or Primary care.

E/M coding experience preferred.

Prior experience in physician billing including ICD-10, CPT medical billing, and EMR charting. Nextgen experience a plus.

Excellent written and oral communication skills.

Pay: $18.00 – $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• medical coding: 2 years (Required)
• E/M Coding: 1 year (Preferred)
• ICD-10: 1 year (Required)
• NextGen: 1 year (Required)

License/Certification:

• CPC Coding certification or equivalent (Required)

Work Location: One location