GENERAL STATEMENT OF
To ensure the optimal use of all the resources available to efficiently perform
medical billing and collection functions. Clinic
positions are dynamic. Job functions will be modified and improved as necessary
to promote a team effort in support of the Sansum Mission Statement.
AND RESPONSIBILITIES: (This list may not
include all of the responsibilities assigned.)
Responsible for supervision of the medical coding staff.
Assisting in the development of a Physician outreach program,
which includes education, auditing, and revenue enhancement opportunities
Reviews daily edits volume and communicates with staff to maintain
Reviews edit work files, and makes recommendations for changes,
additions, and deletions.
Works closely with Director of RC and Billing Manager to develop
prospective edits and education to reduce denials and payment delays.
Maintains quality control of medical coders edits, to insure
accuracy and adherence to system edits.
Develop medical coder production standards
Completes special projects as assigned.
as a team player supporting a variety of staff.
Displays a caring and responsive attitude and conducts all
activities respecting patient, family and employee rights and expectations.
Demonstrates sound cost containment techniques.
Maintains certification and license requirements and
submits required evidence of certification/licensure as needed.
Adheres to all policies and procedures.
14. Completes annual
performance and competency evaluation process with management and participates
in goal setting, performance improvement and educational training as needed.
Participates in professional development activities and
maintains professional affiliations.
Attends required meetings and participates in committees as
Adheres to HIPAA regulations.
Exercises discretion and maintains high level of
Performs related work as required.
KNOWLEDGE, ABILITIES, AND SKILLS: Must be
able to perform each essential duty satisfactorily. The requirements listed below are representative
of the knowledge, skill and abilities of personnel placed in similar or the
This position will have a combination of education and experience in
Coding and will be certified with a CPC.
Must have high knowledge of industry billing practices, and understand
payment methods for all commercial and government insurance..
Ability to use standard office equipment including computer and telephone.
to read, write and communicate effectively in English. Ability to organize and prioritize work. Ability to follow oral and written
instructions. Ability to reason and make
sound judgments. Skill in identifying problems and recommending solutions.
Skill in establishing and maintaining effective working relationships with
co-workers, management, patients, medical staff, and the public. Skill in
accepting constructive criticism and giving suggestions in a professional
EDUCATION, EXPERIENCE AND LICENSURE: High
School diploma or equivalent; some secondary (college) education desirable, and
a AAPC is preferred, but not required.