|Employer:||Douglas Sheets Stremcha CPAs LLC
|Specialties:||ER, General Clinic
|Required Experience:||1 to 2 years
|Preferred Experience:||1 to 2 years
Title: Coder, Emergency Room/General Clinic
Status: Full Time; Temporary; 40.0 Hours per week, in-house (not remote)
Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the hospital Emergency or Clinic department are valid and complete. Accurately codes office and hospital procedures for provider to ensure proper reimbursement.
Reviews data in the EHR for completeness and accuracy.
Supplies correct ICD-10, HCPCS, and CPT codes on all services and procedures performed.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Maintains mandatory in-service.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.
Reviews and codes drugs, IV medications and fluids administered in the ER setting. This includes the correct HCPCS and administration codes.
Performs other related duties, which may be inclusive, but not listed in the job description.
Employment Standards, Education,
Qualifications, and Experience:
High School Diploma.
Medical Coding Certificate - RHIT or CPC certification is required.
Excellent interpersonal skills.
Two years of experience using ICD-10, CPT, HCPCs or equivalency.
Federal laws and regulations affecting coding requirements.
Principles, practices and methods of current coding.
Modern office practices, etc.
Knowledge of billing practices required; hospital-based clinic billing preferred.
Knowledge of medical records, EHR required.
Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Must have good math skills and effective communication skills.
Experience with RPMS EHR and data entry preferred.
Responsibility, Skills, and Difficulty of Work:
Perform coding work requiring independent judgment with speed and accuracy.
Communicating clearly and concisely, orally and in writing.
Ability to use the computer.
Ability to work independently to accomplish assigned work in a timely manner.
Ability to communicate with staff in person and over the telephone, in a tactful manner and under difficult situations
Understanding and carrying out verbal and written directions.
Works independently in the absence of supervision.
Ability to complete required minimum number of records per hour and per day.
Personal Work Relationships:
Maintain strict confidentiality of client and DSS policies and patient data.
Follows applicable policies and procedures.
Must plan one’s own work for completion in the allocated time.
Works in cooperation with other coding and billing staff.
Physical Demands and Work
Works under pressure and stress due to the diversity of our clinics.
Work is performed indoors in a heated, air conditioned, well lighted and clean office setting.
Requires ability to distinguish letters, numbers and symbols.
Requires normal range of vision.
Requires awareness of personal limitations and flexibility.
Some emotional stress resulting from diversity and intensity of staff and clients.
Level of Authority: No supervisory responsibilities.
Reports To: Business Owners.