Medical Coder
Isenberg & Hewitt, P.C.
full-time
Posted on:
Location Type: Office
Location: Des Moines • Iowa • United States
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Job Level
About the role
- Review physician dictation for office and hospital visits.
- Verify and maker 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.
- Unbilled Encounters WorkLog.
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingHCPC codingICD-10-CM codingmedical codingcoding denialscharge postingcoding compliancepayer requirementscoding improvementsbilling procedures
Soft Skills
excellent communicationcustomer servicecollaborationattention to detailproblem-solvingorganizational skillsadaptabilityteamworkleadershiptime management
Certifications
CPC-ACPCCCACCS-PAAPC certificationAHIMA certification