|Employer:||AVORS Medical Group
|Specialties:||Orthopaedics, Pain Management, Plastics, Family Practice
|Required Experience:||1 to 2 years
|Preferred Experience:||3 to 4 years
|Location:||42135 10th Street West Suite # 101 Lancaster 93534, CA, US
We are a heavy volume Multi-Specialty Orthopedic office in Lancaster.
We are looking for a Certified Medical Coder to join our Team. This is an ' IN OFFICE' position.
Please note the following requirements BEFORE applying:
•Certification from AAPC (American Academy of Professional Coders) is required.
•We are not able to accept 'Certificate of Graduation” from a Medical Billing & Coding School as 'Certified'
Works independently on a daily basis responsible for the abstracting and coding of medical records and assigning codes with a high degree of accuracy.
Performs such activities as:
•Coordinates with clinical staff to assure documentation supports CPT and ICD 10 codes.
•Appropriately codes information about procedures performed and selects specific diagnosis codes from documentation. Modifiers are added to ensure multiple procedures are reimbursed appropriately.
•Verifies and completes charge information in database and produces billing, assures eligibility verification supports reimbursement.
•Works with billing staff to support follow-up on bundled services, denials related to medical necessity, and reviews all appeals to assure documentation supports coding.
•Provide training to physicians and staff to improve coding outcomes and Continually trains on orthopedic, pain management, trauma/reconstruction codes.
•Works with surgery schedulers to track and capture documentation on all scheduled procedures and tracks census at surgery centers and hospitals to assure all charges are captured.
•Aids in the training of financial counselor, reviews process of surgery schedulers to assure prior authorization and coding is appropriate before surgery.
•Audits five E & M charts per quarter per provider and coaches providers on improved documentation.
•Assures CCI edits are reviewed each quarter to assure bundling edits are understood and changes in modifier usage is communicated to billing
Knowledge, Skills and Abilities:
•One to Two years of on the job training in Coding procedures
•Knowledge of medical terminology
•Knowledge of medical insurance
•Ability to type accurately and comfortable with computers
•Become a key contributor to the enhancement of the quality of patient care as a necessary part of a medical team.
•Understand and observe legal concepts (e.g. HIPAA, confidentiality)
•Multi-task efficiently and effectively as required.
•Work under pressure, within time constraints. Must be able to act calmly and effectively in a busy or stressful situation.
Education and Experience:
•Successful graduation from Medical Billing & Coding
•Certified Professional Coder CPC- Required