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Certified Coder
Ohio State University PhysiciansCertified Coder at Ohio State University Physicians responsible for billing services and compliance. Analyzing medical coding and providing training to healthcare providers and staff.
About the role
Key responsibilities & impact- Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers
- Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements
- Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis
- Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues
- Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials
- Researches inquiries from providers and patients about fees, reimbursements, and denials
- Monitors data sources to ensure receipt and analysis of all charges
- Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes
- Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
- Other duties or special projects as assigned.
Requirements
What you’ll need- High School diploma or GED
- Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years’ experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience
- Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers
- Knowledge of third party fee profiles and reimbursement requirements
- Knowledge of current and developing issues and trends in medical coding procedures and requirements
- Analytical ability to gather and interpret data and develop, recommends, and implement solutions
- Ability to interact and communicate with individuals at all levels of the organization
Benefits
Comp & perks- medical, dental, vision
- health reimbursement accounts
- flexible spending accounts
- retirement
- employee assistance program
- paid time off
- holidays
- wellness program
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codesHCPCS codesICD-10-CM codescoding compliancebilling servicesauditingdata analysisdocumentation practicesreimbursement policiesfee profiles
Soft Skills
attention to detailprofessionalismcooperativenesscommunicationinterpersonal skillsanalytical abilitytraining and educationproblem-solvingpolitenesspromptness
Certifications
CPCCCSCCS-PRHIT