Job Description

JOB TITLE:Certified Coder

GENERAL SUMMARY OF POSITION:  This position codes hospital and office visit charges and keys them into the practice management system.

SUPERVISION RECEIVED:Reports to Billing Manager.

SUPERVISION EXERCISED:None.

ESSENTIAL FUNCTIONS:

1. Assist staff with general questions regarding coding.
2. Identifies and resolves work problems to ensure quality patient service.
3. Ensures that office supplies and equipment are maintained appropriately.
4. Attends required meetings and participates in committees as requested.
5. Keeps current with health care trends and practices.
6. Codes all charges (hospital, facility and/or office).
7. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.
8. Compile reports, maintain A/R data.
9. Review and resolve insurance denials by examining the provider documentation.
10. Create and/or key batches of payments and charges.
11. Answers patient basic billing inquiries.
12. Other general office duties as assigned by Billing Office Manager.

EDUCATION:High school diploma, Associates Degree preferred.

EXPERIENCE:  Minimum one year general office experience and minimum one year coding and/or billing experience within a health care organization. Experience working directly with physicians. Thorough knowledge of ICD-10 and CPT procedure coding practices, rules and industry standards. Experience coding gastroenterology a plus.

CERTIFICATES AND LICENSES:Coding Certification required.

QUALIFICATIONS (Knowledge, Skills, and Abilities):  The job holder must demonstrate current competencies applicable to job position including but not limited to:

1. Knowledge of computer systems, programs, applications.
2. Knowledge of medical coding, CPT and ICD-9 Codes, modifiers… Knowledge of Surgical coding and billing (Colon/Rectal/ Gastroenterology knowledge a plus).
3. Knowledge of general billing office procedures.
4. Knowledge of patient account policies and practices of the clinic.
5. Good oral and written communication skills.
6. Skill in gathering, analyzing, and evaluating data.

ENVIRONMENTAL/WORKING CONDITIONS:

Normal office environment. Involves frequent contact with staff, patients, and the public. Work may be stressful at times. Contact may involve dealing with angry or belligerent people.

PHYSICAL/MENTAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear.  The employee will be sitting 6-8 hours a day.  The employee must occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.  This position requires the use of computer equipment.

This description is intended to provide only basic guidelines for meeting job requirements Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Charlotte Gastroenterology and Hepatology P.L.L.C. is an equal opportunity employer.

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