Physician Billing Coder II | Revenue Cycle - Team 7 - Emergency Medicine | Days | Full-Time | REMOTE

Overview

FTE: 1.0
Schedule: Monday - Friday, 8:00 AM - 5:00 PM
Work Location: Remote (only within approved states: FL, GA, MO, PA, SC, TN, TX)

Summary:

Under general supervision, this role reviews, analyzes, and assigns the final diagnoses and procedures as documented by the practicing provider, in accordance with all compliance policies and guidelines. The position accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this role provides physician education to ensure correct completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form.

Responsibilities

Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.
• Interact with providers to provide feedback and education using verbal, written, and in-person communication.
• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS for billed services.
• Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
• Communicate with physicians, business group personnel, clinical areas, and staff regarding coding-related questions.
• Manage coding-related edit work queues.
• Prepare documentation audits with written results and trend data; present findings to the Provider, Department Chairman, and/or Compliance Officer.
• Maintain compliance standards according to internal policies and report compliance issues appropriately.
• Identify and account for missing charges and/or documentation.
• Perform coding work independently with timeliness and accuracy.

Qualifications

Qualifications:

Experience Requirements:

• Minimum 3 years of Medical Billing experience - required
• Minimum 3 years of Coding experience - required
• EPIC experience - preferred
• Experience with medical management information systems and medical software - required

Education:

• High School Diploma or GED equivalent - required

Certification/Licensure:

• Certified Professional Coder (CPC) - required at time of hire