Medical Coder

Duties and Responsibilities

1. Enter appropriate up-to-date information in the computer billing system and Routing sheet.
2. Assist in assuring Edgewater Systems compliance with all related licensing and accreditation requirements.
3. In conjunction with supervisor, complete and implement Individual Professional Development Plan.
4. Utilize continue education programs, literature, workshops and other training aids to continually improve coding and reimbursement skills.
5. In conjunction with other staff assist in identifying and eliminating any situation which jeopardizes the health and/or safety of clients, staff, or others who come in contact with community mental health center operations.
6. Conform to all applicable policies and procedures.
7. Conduct all professional activity in an ethical manner.                             
8. Other responsibilities and tasks as assigned.
9. Updates encounter forms as needed
10. Ability to accept and respond to change in the work environment in a way that promotes organizational goals and objectives.
11. Ability to work independently within established system, policies, and procedures to organize work and to set priorities to accomplish multiple tasks within a given time frame.
12. Ability to establish and maintain effective working relationships.
13. Ability to utilize basic mathematical skills, adding, subtracting, multiplying, computing percentages and decimals.
14. Familiarity with common business and health care insurance/provider terminology.
15. Thorough knowledge of physician’s current procedural Terminology (MOST CURRENT EDITION) coding for third party billing and of International Classification of Diseases- 9th Revision- Clinical Modification (ICD.-9 & 10-CM).
16. Knowledge of basic business office equipment, computer, copier, calculator, telephone, and etc
17. Assist in educating physicians and staff in requirements of documentation for proper reimbursement
18. Adhere to all billing requirements of Medicare, Medicaid, managed care plans, commercial carriers, Workers’ Compensation and other government programs.
19. Review regularly all bulletins and correspondence from carriers for up-to-date changes and keep for easy reference.
20. Update fee schedule.

1. GENERAL

1. Conduct all professional activity in an ethical manner.
2. Conform to all applicable policies and procedures.
3. In conjunction with other staff assist in identifying and eliminating any situation which jeopardizes the health and/or safety of clients, staff, or others entering the community mental health center operations.
4. Utilize literature, workshops and other training aids to continually improve case management skills.
5. ​​​​​​​Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Minimum Qualifications

• Education – Minimum of a 2-year degree. Coder certification preferred.
• Experience – Two-year experience working in primary care.
• Other - Possess a valid driver’s license.
  • • Furnish own inspected, automobile as needed for Center work.
    • A good driving records.
    • Appropriate automobile insurance and valid license tags.