Job Duties and
Responsibilities
1.
Writes policies and procedures for coding
staff.
2.
Makes ultimate determination of codes when
asked to do so.
3.
Ensures physician services are coded in a
timely manner
4.
Educates physicians in coding and
documentation.
5.
Coordinates with UPA Billing Manager the update
of all charge tickets on an annual basis.
6.
Coordinates with UPA Billing Manager for
implementation in Cerner Power Orders and the UPA Allscripts billing system new
CPT-4 or HCPCS codes.
7.
Manages Coding staff to include hiring,
orientating, training, evaluating, disciplining, and terminating. Manages staff performance in quantitative and
qualitative standards.
8.
Coordinates the update of billing systems and
encounter forms as needed
9.
Orients new providers on proper coding,
documentation and charge entry,
10.
Manages the Corporate membership with the AAPC.
11.
Coordinates and oversees monthly staff
meetings.
12.
Conducts audits of coding performed by coders
and conveys results to management.
13.
Responsible for research and education on
coding issues for providers and staff.
14.
Stays current on changes regarding Medicare,
Medicaid and other third party payer coding and documentation requirements,
15.
Responsible for providing coders with
up-to-date coding materials.
16.
Serve as reference for payer audits
17.
Available for coding questions from providers
and staff.
18.
Takes personal responsibility for maintaining
and upgrading own knowledge, skills and abilities to ensure personal growth in
position.
19.
Work is performed in UPA’s office and attendance
is an essential function.
20.
Performs other duties as assigned.
21. Promotes quality improvement, staff and patient safety, and cultural
diversity through department operations and by personal performance
22. Presents a
courteous and helpful demeanor, appropriate for age, to all patients, visitors,
other Truman employees/medical staff members, or any other person an employee
encounters while representing Truman Medical Centers.
23. Maintains
current knowledge related to applicable statutes, regulations, guidelines and
standards necessary to perform job duties in accordance with the requirements
of the Corporate Compliance Plan.
Complies with the requirements of the Code of Conduct, Corporate
Compliance Plan and Compliance Policies and Procedures, including training
requirements. Participates in compliance
activities under the direction of the Department Manager and Corporate
Compliance Officer.
Minimum Requirements
1.
Bachelor’s Degree or equivalent in a
combination of education and experience.
2.
Coding
certification required e.g., CPC or RHIT.
3.
Minimum
of 5 years of work experience in medical record review, analysis, or coding.
4.
Experience
working with physicians with coding and documentation.
5.
Management
experience required.
6.
Excellent
written and communication skills.