GENERAL STATEMENT OF
This position is responsible for ensuring efficient claims processing for
AND RESPONSIBILITIES: (This list may not
include all of the responsibilities assigned.)
current on CPT, ICD9/ICD10
compliance and editing guidelines.
training to physicians and staff regarding regulatory issues and compliance.
current on all regulatory issues and provides feedback to staff.
auditing of physician services to verify accuracy of billing.
annual audit for all physicians and participates in presenting results.
with or assists other Medical Coders and trainers in Coding department.
follow-up audits for physicians not meeting clinic established standards of
with other coding department coders and auditors to verify accuracy of audits.
in assigned edits to keep department current, and to identify trends for
10. Provides exemplary
customer service to patients and staff.
11. Participates in
department quality improvement, clinic safety, infection control and hazardous
materials programs and activities.
Adheres to HIPAA regulations.
Exercises discretion and maintains high level of
Adheres to all policies and procedures.
Performs related work as required.
EDUCATION, EXPERIENCE AND LICENSURE:
requirement graduation from High School or equivalent (some post secondary work
or more year’s prior coding experience and a Certification or Credential as a
Procedure Coder. AAPC licensing