EHC Consulting, LLC Hiring for Certified Emergency Medical Coder Job at Farmers Branch, TX Full Time

Certified Medical Coder

Level Employee

Job Location EHC LLC

Education Level High School Diploma/GED, Coding Certification

Job Categories Health Care

Salary $19-$23/hr

Description

Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Billing, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions.

Primary Responsibilities:

The following section contains representative examples of work that will be performed in positions allocated to this classification. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.

• Charge Capture

• Review charge capture documents, paper or electronic, for completeness and accuracy
• Reconcile collection of charges to daily census report or schedules depending on place of service
• Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
• Prepare daily charge capture documents according to policies and procedures
• Process all pre-billing edits on a daily basis and complete each edit within 2 business days
• Ensure charges are posted within the following time lines: 2 days from date of service for Outpatient services
• Denial Management

• Process denials on a daily basis ensuring all requested timelines are met
• Ensure procedure and ICD-10 codes reflect documentation
• Customer Service

• Respond to customer service questions and report recurring issues to management
• Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
• Competencies

• Attend all staff meetings
• Maintain current Coding Certification and active membership in local AAPC chapter, including participation in local events and meetings
• Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding.
• Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution
• Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT’s in January
• Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
• Coding Review and Reimbursement Resource

• Conduct annual and focused reviews
• Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
• Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function
• Provide education to all providers within given specialty based on coding trends and will conduct new provider orientation
• Performs similar or related duties as requested or directed
• Performs other duties as requested and observed by supervisor or manager

Required Qualifications:

• High School Diploma / GED (or higher) OR equivalent years of work experience
• 1+ years of experience in hospital/physician coding and/or hospital/physician bill
• CPC (CPC-A; CPC-H or CPC-P are all acceptable), COC, RHIT or CCS Certification
• Extensive knowledge of CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
• Knowledge of coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture

Job Type: Full-time

Pay: $22.00 – $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location:

• One location

Work Remotely:

• No

Work Location: One location