Certified Medical Coder (Onsite)

				Overview:

Responsibilities:

The Hospital Coder is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized through the account registration, billing, coding of hospital records and data entry of all hospital based charges into the billing system.

* Code from hospital records, physician notes and ancillary records. Assign modifiers and sequence codes appropriately to accurate reflect services provided.
* Gather and verify current demographic information including insurance information, insurance benefits and eligibility and obtains valid authorizations and referrals; contacting insurance companies (as necessary).
* Process daily billing; completing and submitting daily and monthly statistics and assisting the Practice Manager and physicians with coding and billing duties as needed. 
* Obtains medical information from physicians and hospitals when required to validate correct coding. 
* Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when indicated.
* Responds to accounting or billing inquiries from physicians and management. 
* Ensures medical records are complete and forwards to appropriate departments for filing and/or audit. 
* Notifies physicians when documentation is unavailable for coding and billing and works with physicians on correct documentation of services. 
* Follow all government and payer coding guidelines and HIPAA guidelines.
* Performs other duties as assigned.

Qualifications:

Education Level:  High school diploma or GED. Associate's degree preferred.

Experience Years:  3-5 years related experience.                                       

Experience Industry: Healthcare

* Certification in Professional Coding (CPC) is preferred and in some sites may be required.
* Surgical coding and coding modifiers experience preferred

Equivalent combination of relevant education and experience will be considered.
			

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Mednax