Role Overview

Review physician dictation for office and hospital visits.
Verify and make sure that the appropriate CPT/HCPC/ICD-10-CM codes have been chosen to ensure visit meets criteria for the level chosen.
Post Co-Pay Payments when applied to encounters during coding.
Review, code, and post charge for all events in NextGen (including Hospital, ASC, Clinic, and Radiology).
Review and Correct ALL Coding Denials as needed and assigned in WorkLog (including Assisting Billing with Appeals as needed).
Locate corrections or additions needed in dictation, and send requests to physicians and Transcription Department for necessary changes and or addendum.
Answer questions on CPT/HCPC/ICD-10-CM codes needed by other departments.
Work in conjunction with Pre-Coding, QA, and Back Office Staff to support, clarify, and charge for the physician’s treatment of each patient encounter.
Follow through and complete missed charges on Unbilled Encounter Report (ie cast applications, DME’s, medications and injections, x-rays).
Release claims after corrections are made or physician dictates as requested (i.e. x-rays, visits, medications, injections or casts).
Know or learn to code per payer while remaining in AMA CPT guidelines.
Attend continuing education to keep current with coding changes and third party payer requirements.
Stay up to date on Coding/Payer Education via the Education Tracking Spreadsheet.
Work closely with the Billing and Coding Manager and Supervisors to interpret third party payer requirements.
Assist to implement procedures that ensure optimum reimbursement in compliance with regulations.
Develop and implement improvements as appropriate.
Provide excellent customer service to staff, leadership, providers and customers.
Assist in maintaining and monitoring department spreadsheets and WorkLog as assigned.
Support other departments company wide in correct understanding and usage of CPT/HCPC/ICD-10-CM codes.
Assist in the Annual Provider Reviews for your assigned physicians.
Participate in quarterly Q&A sessions.
Assist with other duties as assigned.
Assist other departments in understanding and interpreting LCD policies published by CMS.
Assist Pre-Auth Department with CPT/HCPC/ICD-10-CM codes as needed.

Requirements

Medical coding certification from AAPC (CPC-A or CPC) or AHIMA (CCA, CCS-P) must be obtained prior to hire.
Minimum 1 year of experience in the last 18 months in coding physician services and/or physical therapy (PT/OT) services preferred.
Knowledge of Medicare provider requirements preferred.
Excellent communication skills.
Microsoft Office Knowledge including Outlook, Excel, Word, Power Point and OneNote.
Basic computer skills; Microsoft Office Suite.
Ability to speak, read, write and listen to the English language without translation.

Benefits

Competitive Benefit Package: Competitive pay, health, dental, paid time off, paid holidays, 401(k) with company match, profit-sharing, employee discounts and more.

Isenberg & Hewitt, P.C.

Open Positions (1)

Healthcare

Medical Coder