|Employer:||Mercy Health System
|Required Certifications:||Certification as a Certified Professional Coder (CPC ) from the AAPC or CCS-P from AHIMA
|Required Experience:||1 to 2 years
|Preferred Experience:||3 to 4 years
Supervise Coding team to ensure the efficient, effective, timely and accurate collection and entering of patient information, and charge entry into patient encounters. Work collaboratively with practice physicians and managers to ensure key metrics are achieved. Assist practice physicians and managers with all coding errors, denials, or issues encountered in the revenue cycle process.
Education and Training: Education equivalent Associate's degree in Business Administration, Healthcare Documentation and Coding, or Health Care Administration required; Bachelor's preferred;
Three years of experience coding CPT, HCPCS and ICD-10, including one year at the supervisory level. OR Six years if experience coding CPT, HCPCS and ICD-10, including 2 years at the supervisory level
Experience using NextGen system preferred.
Certification and Licensure: Certification as a Certified Professional Coder (CPC ) from the AAPC or CCS-P from AHIMA
Skills• Organizing work, maintaining accurate records, and paying attention to details
• Ensure the efficient, effective, timely and accurate collection and entering of patient information, and charge entry into patient accounts.
• Understand the importance of accuracy related to charge entry to avoid claim delays/denials and perform efficiently, effectively, and timely and with 85% accuracy.
• Function well within a team and independently
• Stay informed on changes pertaining to coding by reading payer bulletins and newsletters
• Communicate orally and in writing
• Use Microsoft Office, send and receive e-mail, and navigate the Internet
• Collaborate with others to meet multiple deadlines
• Deal with issues with flexibility
• Ensuring the daily claim edits are corrected timely allowing claims to be billed promptly and without error in a manner consistent with payer requirements inclusive of local, state, and federal laws and regulations; • Monitoring all payer updates informing Director, Physician Billing, CBO, System User Liaison and providers of, billing requirements, or any issue that will require a change to existing policies, processes, or systems; • Management of personnel (Coders) including assigning work and monitoring quality and productivity through manual reviews and reporting; • Implementing & monitoring internal controls inclusive of key performance indicators (KPI’s); • Facilitating and participating in payer meetings using KPI’s to objectively explain challenges in the billing coding process; • Recommending solutions leading to cost savings and net revenue improvement to Director, Physician Billing, CBO; • Assists in the development or modification of future policy and measurement changes.
• CPT and ICD9/10 codes
• Payer requirements (copays, referrals, etc.)
• HIPPA regulations
• Standard governmental billing requirements