Physician Billing Coder I | Revenue Cycle Admin | Days | Part-Time | PRN Pool | REMOTE

Overview

Summary:

Under general supervision, reviews, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider’s documentation following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Ensures proper completion of electronic health records assignment of ICD-, CDM, HCPCS, and CPT codes.

Responsibilities

Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.
• Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
• Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.
• Reviews and corrects charge review edits.
• Reviews records to ensure proper submission of services prior to billing on selected charges.
• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.
• Works in cooperation with other clinical areas and staff.
• Performs coding work requiring independent judgment with timeliness and accuracy.
• All other duties as assigned
  
  

Qualifications

Qualifications:

Experience Requirements:

3 years- Medical billing preferred

3 years- Extensive experience in physician coding preferred

Education:

High School Diploma - required

Certification/Licensure

• Certified Professional Coder (CPC) required
• Additional Duties:
• All other duties as assigned
  

UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.