|Employer:||Alaska Heart & Vascular Institute
|Required Experience:||1 to 2 years
|Preferred Experience:||5 to 7 years
JOB TITLE: Certified Coder
DEPARTMENT: Billing Office
GENERAL SUMMARY OF DUTIES: THIS IS A NONEXEMPT POSITION. RESPONSIBLE FOR CODING AND POSTING OFFICE AND IMAGING PROCEDURES. ACCURATELY ASSIGN CPT AND ICD-9/ICD-10 CODES BY ANALYZING AND ABSTRACTING INFORMATION FROM DICTATED REPORTS TO ACHIEVE TIMELY BILLING. ABILITY TO MAINTAIN STRICT CONFIDENTIALITY. ABLE TO SET PRIORITIES AND MANAGE TIME IN A FAST PACED, HIGH VOLUME ENVIRONMENT, WHILE EXERCISING CRITICAL THINKING SKILLS. PERFORM AUDITS AS NEEDED. STAY CURRENT AND UPDATED WITH CODING GUIDELINES AND PAYER REGULATIONS. FLEXIBLE FOR OVERTIME AND WEEKEND WORK.
SUPERVISION RECEIVED: Reports to Business Operations Director
SUPERVISION EXERCISED: None
TYPICAL PHYSICAL DEMANDS: Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Occasional stress from varying demands. Must be able to work independently. Must be able to lift/carry up to 25 pounds.
TYPICAL WORKING CONDITIONS: Work is performed in a busy office environment. Frequent contact with employees, patients, physicians and outside agencies. Occasional evening or weekend work.
- Research all information to insure a complete and accurate office and imaging billing process.
- Review external charges for correct coding upon importing into Centricity Practice Management.
- Gather charge information from Physicians, NP’s and PA’s in a timely manner.
- Analyze and code procedures using current CPT and ICD-10 codes.
- Identify bundled codes using CCI edits.
- Correctly assign modifiers when required.
- Ensure all office and imaging charges are coded and posted for month-end closing.
- Assist with coding and error resolution.
- Investigates coding problems and formulates solutions.
- Provides consultative services to physicians on coding issues.
- Interface with patients, family and healthcare professionals to obtain claim preparation information.
- Participates in educational activities.
- Maintains strictest confidentiality.
- Performs related work as required.
Knowledge, Skills, Abilities
Knowledge of institute policies and procedures.
Knowledge of billing practices and procedures.
Knowledge of insurance company procedures regarding reimbursements.
Knowledge of EOB categories.
Knowledge of accounts receivable practices and medical business office procedures.
Knowledge of medical terminology and coding.
Knowledge of computerized practice management system.
Knowledge of computerized electronic health record system (EHR.)
Skill in interpersonal relationships necessary to deal effectively and courteously with callers, patients and families, insurance companies, other agencies and AHI personnel and physicians.
Skill in gathering, analyzing and interpreting information for completeness and correctness. Requires great attention to detail.
Skill in computer applications; Excel, Word, Outlook. Requires excellent key boarding skills.
Skill in ten key calculator use by touch.
Skill in exercising initiative, judgment and decision making to achieve department objectives.
Ability to courteously answer incoming phone calls promptly.
Ability to understand and interpret policies and regulations.
Ability to examine documents for accuracy and completeness.
Ability to identify claim problems and recommend solutions.
Ability to sort and file materials correctly by alphabetic or numeric systems.
Ability to maintain strictest confidentiality of financial and personal matters relating to AHI patients and AHI business activities.
Ability to read, write and speak English.
Ability to communicate tactfully, courteously and effectively with others.
Ability to work cooperatively with others in a team environment.
Ability to perform mathematical computations with the use of a calculator.
Ability to be highly efficient, organized and accurate in all work.
Ability to balance demands of position to meet departmental objectives.
Ability to handle stressful situations tactfully.
Demonstrate ability to multi-task; perform tasks within time frames assigned.
Demonstrate schedule flexibility; adjust to shifting priorities; stay organized in a changing environment; stay focused during stressful or difficult situations; exhibit comfort with ambiguity.
Minimum: Some college, preferably with an emphasis on Medical Coding, Medical Terminology and Basic Human Anatomy.
Required: Two years of experience in medical office with emphasis on medical coding.
Certificate/License: Certified Professional Coder (CPC) required from American academy of Professional Coders (AAPC).