Medical Corder Job in Wausau, Wisconsin

GENERAL SUMMARY:

This position is primarily responsible for accurately coding and posting clinic, surgical and inpatient charges.

PRIMARY JOB DUTIES AND RESPONSIBILITIES:

1. 1.    Maintains strict patient confidentiality and has an awareness of the sensitivity of patient information we handle.
2. 2.    Enters charges for ENT, Allergy, Audiology services rendered in all ENT locations and surgical and inpatient services.
3. 3.    Performs audits of office, surgical and inpatient charges for accuracy and proper documentation.
4. 4.    Performs audits of reimbursement from payors to ensure they are paying us accurately.
5. 5.    Communicates with doctors/clinical staff regarding coding/documentation issues, concerns, changes or updates.
6. 6.    Verifies and updates insurance coverage when applicable.
7. 7.    Appeals and follows up on claim denials from commercial/government insurance.
8. 8.    Works appropriate Epic workqueues and follows up commercial/government insurance plans as needed.
9. 9.    Runs Missing Encounter Report through the Epic to ensure capture of open/missing charges.
10. 10.  Provides patient education regarding applicable charges, copays, co-insurance, and deductibles.
11. 11.  Assists in development, review, and revision of departmental policies and procedures.
12. 12.  Documents all relevant patient information in the EMR system accurately.
13. 13.  Communicates effectively with patients, co-workers, insurance companies, and physicians verbally and in writing.
14. 14.  Provides positive patient and co-worker interactions.
15. 15.  Follows OSHA, HIPAA and other regulatory guidelines.
16. 16.  Participates in educational opportunities as determined by the clinic.
17. 17.  Wears required uniform and adheres to the dress code policy.
18. 18.  Completes annual trainings as determined by the clinic.
19. 19.  Attends required meetings.
20. 20.  Maintains a clean and orderly work area
21. 21.  Assists team with projects as needed.
22. 22.  Identifies opportunities to improve patient experience and work processes.
23. 23.  Participates in projects/programs designed to enhance service delivery and patient satisfaction.
24. 24.  Identifies opportunities to improve patient and staff safety.
25. 25.  Performs other duties as assigned.

1. ·         High School Diploma or GED is required.
2. ·         Certified Professional Coder is preferred.

1. ·         Skill in identifying problems and recommending solutions.
2. ·         Skill in preparing and maintaining records and responding to correspondence.
3. ·         Skill in developing and maintaining relationships with patients, physicians and co-workers.
4. ·         Ability to maintain quality standards.
5. ·         Ability to react calmly and effectively.
6. ·         Ability to interpret, adapt and apply guidelines and procedures.
7. ·         Ability to complete duties accurately and timely.
8. ·         Ability to maintain teamwork effectively with co-workers.
9. ·         Ability to be compassionate and understanding of our patient’s financial situations.
10. ·         Ability to educate patients regarding insurance coverages and financial payment arrangements.
11. ·         Ability to effectively communicate verbally and in writing.
12. ·         Ability to refrain from and deter non-constructive conversations.
13. ·         Ability to keep work area clean and organized.