Category:

Admin Support

City:

Jackson

State:

Tennessee

Shift:

Job Description Summary:

Under the direct supervision of the Coding Supervisor/Clinical Manager, responsible for assigned 8 hour shift, 5 days a week with possibility as needed of overtime.

ESSENTIAL JOB FUNCTIONS:

Reviews electronic medical records and paper records to identify all treated diagnosis and significant procedures performed.Sequences diagnoses and procedures according to definition of principal diagnosis, other co-morbid conditions and complications, and according to definition of principal procedure and other procedures and using appropriate modifiers.Uses 3M Encoder to assign ICD- 9 diagnosis and CPT procedure codes and modifiers when indicated to ensure coding accuracy. Uses compliance advisor to determine medical necessity.Utilizes online coding references, Local Coding Determinations and National Coding Determinations, Medicare Part B Announcements, Coding Alerts, Compliance Advisor, and other payer guidelines and to ensure appropriate code assignment for Compliance, Billing and Medical Necessity.Transfers diagnosis and procedure codes and modifiers to billing system manually as needed per customer coding/posting guidelines.Enters and change information into billing systems as indicated.  (Example: diagnosis codes, physician ID numbers, modifiers, procedure dates, procedure codes, place of service, referring physicians, etc.)Performs investigations into different medical records for clarification of diagnoses, procedures and conflicting information for appropriate coding assignment.Performs related responsibilities and other duties as assigned or directed.Able to code a designated amount of work per day determined by the standards of the coding department.Works with Physician Services department on quarterly basis to maintain E&M documentation accuracy through Physician Services audits.

JOB SPECIFICATIONS:

EDUCATION:

College or coding courses

LICENSURE, REGISTRATION, CERTIFICATION:

CPC or AHIMA (RHIT or RHIA will be considered)  

EXPERIENCE:

Knowledge of Physician Billing practices, coding and coding guidelines. Meets all job description requirements for Coding Specialist Trainee.  Should be able to code 17 ER visits per hour, 15-20 clinic visits per hour depending on the specialty, and 20-25 hospital visits per hour. Self motivated and eager to take on new challenges. Ability to work simple coding denials. Minimum 1-2 years of coding experience.

     

KNOWLEDGE, SKILLS AND ABILITIES:

Knowledge of computer applications with the ability to navigate through the multiple systems that we use.Able to learn several specialties and manage the different aspects daily.Ability to monitor CPT/ICD-9 changes annually and assist in updating fee slips.Skill and proficiency in diagnosis and procedure coding, and other principles, concepts and techniques of Physician Billing. Such proficiency is acquired through a formal coding class, job experience, and certification accredited by the AAPC or AHIMA.Maintains CEU’s that coincides with certification expectations and/or organizational expectations.Requires utilization of coding references including LCD/NCD to ensure appropriate coding skills.

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.