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Job Description
ebix, Inc. is a multi-specialty medical billing and coding company located in Greendale, WI and has been operating since 1976. We are looking for an Experienced Coder. This position reports to the VP of Client Services and is accountable for using physician notes and/or patient encounter forms for compliant preparation and coding of patient charts on a daily basis. This candidate must have the ability to accurately abstract evaluation and management (E/M) from provider documentation, review charges and procedure for accuracy, assign ICD-10, CPT and HCPCS codes to incoming charge sheets and be able to recognize errors, correct or reroute as applicable.
Position Purpose: Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Ability to hit productivity standards with quality outcomes.
Essential Duties:
ebix, Inc. is a multi-specialty medical billing and coding company located in Greendale, WI and has been operating since 1976. We are looking for an Experienced Coder. This position reports to the VP of Client Services and is accountable for using physician notes and/or patient encounter forms for compliant preparation and coding of patient charts on a daily basis. This candidate must have the ability to accurately abstract evaluation and management (E/M) from provider documentation, review charges and procedure for accuracy, assign ICD-10, CPT and HCPCS codes to incoming charge sheets and be able to recognize errors, correct or reroute as applicable.
Position Purpose: Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Ability to hit productivity standards with quality outcomes.
Essential Duties:
- Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
- Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided
- Supplies correct HCPCS code on all procedures and services performed
- Supplies correct CPT code on all procedures and services performed
- Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies
- Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
- Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
- Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
- Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.
- Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
- Performs other related duties, which may be inclusive, but not listed in the job description
Employment Standards
Education & Qualifications:
- High School Diploma
- Medical Coding Certificate – CPC or equivalent certification is required
- Excellent interpersonal skills
- Two years experience using ICD-10-CM, CPT, HCPCs or equivalency
- Computer competency
Knowledge of:
- Federal laws and regulations affecting coding requirements
- Principles, practices and methods of current coding certificate required
- Modern office practices, etc.
- Knowledge of billing practices required
- Knowledge of medical records, EHR required
- Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
- Must have effective communication skills.
EOE: Our company does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
