Coder (Med-metrix)

Roles and Responsibilities

Job Purpose

The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff.

Duties and Responsibilities

• Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners

• Assign and sequence all CPT and ICD-10 codes for services rendered when required

• Work with billing staff and system WQ’s to ensure proper payment of claims

• Comply with all Medicare policy requirements including coding initiatives and guidelines

• Work independently from assigned work queues

• Maintain confidentiality at all times

• Maintain a professional attitude

• Other duties as assigned by the management team

• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

• Understand and comply with Information Security and HIPAA policies and procedures at all times

• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• CPC certification AAPC or CCS certification from AHIMA

• High School graduate or equivalent

• Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.)

• Knowledge of Microsoft Word, Outlook, Excel

• Must be able to use job-related software

• Surgical coding experience a plus

• Strong interpersonal skills, ability to communicate well at all levels of the organization

• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses

• High level of integrity and dependability with a strong sense of urgency and results oriented

• Excellent written and verbal communication skills required

• Gracious and welcoming personality for customer service interaction

Working Conditions

• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

• Work Environment: The noise level in the work environment is usually minimal.