Medical Coder/Biller Job in Riverton, Utah

Duties include obtaining accurate reimbursement for our providers' claims; reviewing, analyzing, and coding both diagnostic and procedural information used in the billing of charges for physician services appropriately; reviewing records to assure all vital information such as patient identification, signatures, and dates are all present in the record; evaluates the records for documentation consistency and adequacy to ensure that the inlay diagnosis accurately reflects the care and treatment rendered; following up with third parties regarding billing, coding, and documentation to ensure compliance with regulatory guidelines; and maintaining comprehensive knowledge and understanding of changing guidelines and regulations to insure the practice is compliant.  We offer a competitive wage and fun work environment.

- Utilizes knowledge of medical codes and coding procedures to assign and sequence appropriate CPT/ICD-10 codes, in compliance with government and third party payer requirements.

- Ability to code E/M visits, surgeries, and deliveries

- Maintains current knowledge of coding conventions, guidelines, updates, and regulations governing government and third party billing to ensure that coding and documentation meets regulatory guidelines and audit standards, and results in appropriate reimbursement.

- Finds missing charges by using available hospital system links.

- Work accounts in the claim scrubber queues

- Medical terminology, anatomy, and physiology

- Review of health record documentation to ensure accurate coding of services rendered

- Identifies appropriate escalation points and works with management to resolve issues.

- Maintain current CPC and other credentialing and training

Applicants must have experience in OB/GYN coding.