Medical Coder
Isenberg & Hewitt, P.C.
full-time
Posted on:
Location Type: Office
Location: 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 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