Job Posting – Certified Coder

SOUTH JERSEY RADIOLOGY

JOB POSTING

POSITION:                Certified Coder

LOCATION:               Voorhees Billing Department

HOURS:                    Monday-Friday: 9:00 am-5:30 pm

ESSENTIAL DUTES AND RESPONSIBILITIES

  • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges using computer assisted coding software system
  • Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
  • Supplies correct CPT/HCPCS code on all procedures and services performed
  • Advise doctors and staff of coding errors.
  • Update ICD-10, CPT and RIS codes as needed to determine the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
  • Assist billing staff with coding issues or questions.
  • All other duties as assigned.

QUALIFICATIONS

  • High school diploma or equivalent
  • Coding certifications – Radiology, AAPC and/or CPC
  • Two (2) plus years of coding experience preferred
  • Knowledge of medical terminology and billing process
  • Must be fully computer proficient with spreadsheet skills
  • Excellent communication skills

Job Title:          Certified Coder                                                            

Location:          Billing Department                                                      

Reports to:       Billing Office Manager

Exemption Status:  Non-Exempt

SUMMARY – This position assists the radiologists and/or staff in the appropriate ICD-10 and CPT coding of procedures.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Analyze, code and post from Optum CAC on a daily basis
  • Advise radiologists and/or staff of coding errors
  • Responsible for all inquiries in regard to coding issues
  • Update ICD-10, CPT and RIS codes as needed after reviewing with management
  • Update WebDocs ICD-10 Crosswalk, as needed
  • Post charges and payments as needed
  • Assist billing staff with any coding issues and/or questions
  • Communicate with provider representatives at insurance carriers and collection agencies
  • Document employee coding errors; recommend further training and education
  • Ensure phone calls are answered
  • Must maintain confidentiality and comply with all HIPAA and Corporate Compliance regulations
  • All other duties as assigned

SUPERVISORY RESPONSIBILITIES – This position has no supervisory responsibilities

QUALIFICATIONS

  • High school diploma or equivalent
  • Current coding certification

Training and Experience

  • Two or more year experience in medical billing preferred
  • Active certification in coding; Radiology, AAPC and/or CPC

Knowledge, Skills and Competencies

  • Thorough knowledge of all functions of billing processes, including but not limited to knowledge of medical terminology, reimbursement analysis, experience with appeals process, credit balance, billing regulations, etc.
  • Proficient with computer spreadsheets
  • Ability to communicate
  • Excellent interpersonal skills including oral and written
  • Proficient with use of business machines (i.e. fax, copier, adding machines, etc)

Physical Demands of the Position – This position requires sitting for 80% of scheduled shift as well as standing, walking and lifting of boxes and folders (not over 25 pounds). There is also continuous use of a computer, computer keyboard and computer mouse throughout the scheduled shift.

Working Conditions – The position is in an indoor office setting in close proximity to coworkers.

Disclaimer – The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.


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