Medical Coding Auditor, Outpatient
BASF
Coding and Billing Specialist
firsthand
part-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $18 - $20 per hour
Job Level
Mid-LevelSenior
About the role
- Become subject matter expert in the capabilities of firsthand's billing systems, including EHR and Clearinghouses
- Appropriately codes services, procedures, diagnoses, and treatments. Verifies that the assignment of International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedural Coding (HCPC) codes are compatible, appropriate, and accurate for billing
- Use medical terminology to understand clinical documentation and determine if it appropriately supports diagnoses. Reviews all individual visit encounters for completeness and accuracy in all services rendered
- Educates firsthand Advance Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. Provides technical guidance to APNs, NPs, and other team members in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines
- Prepares and submits claims for payment, and corrects rejected claims
- Advises on ongoing process improvements related to coding and billing. Makes recommendations for changes in policies and procedures, e.g., revising the master CPT list. Develops and updates procedures manuals to maintain standards for correct coding, and to minimize the risk of fraud and abuse
Requirements
- Have 4+ years experience as a medical billing and coding specialist leveraging an Electronic Health Record (EHR) system
- Are able to gain proficiency in firsthand EHR, Clearinghouse, and other billing software systems
- Have a strong knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; state and federal Medicare reimbursement guidelines; English grammar and usage
- Are proficient in medical terminology: ability to read and interpret medical procedures and terminology
- Have excellent written and verbal communication skills, especially to maintain working relationships with firsthand APNs, NPs, Clinical Documentation Integrity Specialist, and other team members
- Have strong multi-tasking skills and consistent attention to detail
- Support firsthand’s mission, vision and values: Demonstrates respect, dignity, empathy, and professional conduct to both individuals that firsthand serves and firsthand team members
- A high School diploma or equivalent
- Medical coder certification, such as Certified Professional Coder (CPC) from AAPC (American Academy of Professional Coders) or Certified Coding Specialist (CCS) from AHIMA (American Health Information Management Association)
