second to none
Guru
CERTIFIED CODING SPECIALIST
Company Overview: Our mission is to provide quality, cost-effective care to all of our patients through a team approach to health care delivery and management and a total commitment to honesty, quality, professionalism, and the highest level of moral and ethical responsiveness to our patients, partners, shareholders, and the community at large. Our business and clinical professionals enjoy a supportive work environment with an open-door policy, excellent benefits, competitive salaries, training, development and advancement opportunities, community activities and a caring company culture.
Essential Responsibilities:
Performs initial charge review to determine appropriate ICD-9 and CPT codes to be used to report physician services to third party payers.
Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9 coding to these services.
Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and Surgeon information to complete the charge process.
Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
Responsible for ensuring the batch processes for all coded charges.
Utilizes batch-logging systems to comply with internal audit standards.
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians? services.
Meets and exceeds short and long term goals as established for the department.
Performs duties and job functions in accordance with the policies and procedures established for the department.
Participates in administrative staff meetings and attends other meetings and seminars.
Assists in evaluation of reports, decisions, and results of department in relation to established goals.
Recommends new approaches, policies, and procedures to influence continuous improvements in department?s efficiency and services performed.
Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the team?s projects/goals are completed.
Takes ownership of special projects, researches data and follows through with detailed action plans.
Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Qualifications:
One-year certificate from college or technical school;
or one to two years related experience and/or training; experience with physician coding procedures
or equivalent combination of education and experience.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Understanding of medical terminology and protocols.
Ability to add and subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Proficiency in Microsoft Word, Excel, PowerPoint and Access.
Training & Development:
Training will be provided on Anesthesia Coding.
Flexible Work Schedule:
Monday ? Friday
7:00 AM ? 4:00 PM or 8:00 AM ? 5:00PM (flexible and negotiable)
In-house position
Raleigh, NC
Salary & Benefits:
We offer a comprehensive benefits program to meet the needs of our employees and their families. Benefits offered include:
Competitive compensation: Depending on Experience
Overtime Available (time-and-a-half)
Medical, dental and vision insurance
401(k) Retirement Plan
Life Insurance
Long-term/Short-term Disability Insurance
AFLAC
Employee Assistance Programs
Flexible Spending Accounts
Long-Term Care
Employee Stock Purchase Plan
Tuition Reimbursement Plan
Continuing Medical/Nursing Education
Company Overview: Our mission is to provide quality, cost-effective care to all of our patients through a team approach to health care delivery and management and a total commitment to honesty, quality, professionalism, and the highest level of moral and ethical responsiveness to our patients, partners, shareholders, and the community at large. Our business and clinical professionals enjoy a supportive work environment with an open-door policy, excellent benefits, competitive salaries, training, development and advancement opportunities, community activities and a caring company culture.
Essential Responsibilities:
Performs initial charge review to determine appropriate ICD-9 and CPT codes to be used to report physician services to third party payers.
Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9 coding to these services.
Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and Surgeon information to complete the charge process.
Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
Monitors and follows up to ensure all services that can be billed are captured and coded for billing.
Responsible for ensuring the batch processes for all coded charges.
Utilizes batch-logging systems to comply with internal audit standards.
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians? services.
Meets and exceeds short and long term goals as established for the department.
Performs duties and job functions in accordance with the policies and procedures established for the department.
Participates in administrative staff meetings and attends other meetings and seminars.
Assists in evaluation of reports, decisions, and results of department in relation to established goals.
Recommends new approaches, policies, and procedures to influence continuous improvements in department?s efficiency and services performed.
Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the team?s projects/goals are completed.
Takes ownership of special projects, researches data and follows through with detailed action plans.
Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Qualifications:
One-year certificate from college or technical school;
or one to two years related experience and/or training; experience with physician coding procedures
or equivalent combination of education and experience.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Understanding of medical terminology and protocols.
Ability to add and subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts and percentages.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Proficiency in Microsoft Word, Excel, PowerPoint and Access.
Training & Development:
Training will be provided on Anesthesia Coding.
Flexible Work Schedule:
Monday ? Friday
7:00 AM ? 4:00 PM or 8:00 AM ? 5:00PM (flexible and negotiable)
In-house position
Raleigh, NC
Salary & Benefits:
We offer a comprehensive benefits program to meet the needs of our employees and their families. Benefits offered include:
Competitive compensation: Depending on Experience
Overtime Available (time-and-a-half)
Medical, dental and vision insurance
401(k) Retirement Plan
Life Insurance
Long-term/Short-term Disability Insurance
AFLAC
Employee Assistance Programs
Flexible Spending Accounts
Long-Term Care
Employee Stock Purchase Plan
Tuition Reimbursement Plan
Continuing Medical/Nursing Education