|Employer:||New Mexico Cancer Center
|Specialties:||E&M, Rheumatology, Radiology, Oncology/Hematology
|Required Certifications:||CPC or equivalent
Certified Coder: On-site
The Certified Coder performs audits of documentation, billing, and
coding in accordance with all applicable State and Federal laws and company
compliance standards. The Certified Coder performs written reports of the audit
findings and develops and provides educational programs for the physicians and
staff on coding and reimbursement issues. This position ensures and performs
duties that help the organization achieve its mission, vision while
demonstrating and adhering to the core values.
Reasonable Accommodations Statement:
To perform this job successfully, an individual must be able to
perform the essential duties satisfactorily. Reasonable accommodations may be
made to enable qualified individuals with disabilities to perform the essential
Essential Functions Statement(s):
performs, and documents all Coding Compliance audits as scheduled in the
annual plan and/or as needed per management request or if there is a known
change in risk.
coding and documentation accuracy by performing regular audits of
potential areas of risk.
compliance with Federal and State laws and regulations.
RAC risk assessment audits and monitor RAC websites for current activity
and findings of ongoing RAC audits.
entering of appropriate charges daily as it relates to hospital visits,
infusion and radiology services.
ongoing training for the Physicians regarding feedback for documentation
of office visits and any other trends.
follow up reviews with physicians and staff regarding implementation of
input into the development of the annual audit plan, specifically in
regards to billing and coding compliance issues.
as a resource to the practice to furnish and obtains information on
accurate and ethical coding as well as documentation standards,
guidelines, and regulatory requirements.
knowledge of current coding and regulatory issues as they relate to the
coding guidance to the other areas of the billing department including but
not limited to Accounts Receivable and Prior Authorization staff.
and resolves any assigned coding related projects.
SKILLS & ABILITIES:
Education and Experience:
School Graduate or General Education Degree (GED).
- Four years related experience.
of CPT/HCPC and ICD9/10 codes.
to understand the billing specialties involved (Chemo, RO, Rheumatology,
to read and interpret documents such as operating and maintenance
instructions, and policy and procedure manuals.
to add, subtract, multiply and divide in all units of measure, using whole
Basic computer skills, Billing Software.
Certificates & Licenses: