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On-Site Medical Coder Job in Glendale, Wisconsin

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Job Title: On-Site Medical Coder

Employer:Blount Orthopaedic Associates S.C.
Type:Full-Time
Required Certifications:CPC
Location:Glendale, WI
Date Posted:8/27/2019

General Summary of Duties: Oversees processing of clinic professional charges including updating of procedure and diagnosis codes in computer files, coordinating reports and maintaining charge ticket files. 

 

Supervision Received: Reports directly to Administrator.

 

Supervision Exercised: None

 

Performance Requirements:

Knowledge, Skills & Abilities:

Knowledge of coding policies and procedures, reimbursement practices.  Knowledge of coding and clinic operating policies.   Skill in using computer and calculator.  Ability to examine documents for accuracy and completeness.  Ability to prepare records in accordance with detailed instructions. Ability to work to precise and established standards of accuracy. Ability to work effectively with patients and co-workers. Ability to communicate clearly.

 

Education

High school diploma or GED certificate

Certified Professional Coder certification

 

Experience:  Preferred two years of experience within a Private Practice.  One year minimum experience

 

Certificate/License: CPC preferred.

 

Alternative to Minimum Qualifications:  Additional appropriate education may be substituted for one year in medical office environment.

 

Essential Job Functions: (This list may not include all of the duties assigned.)

Responsible for coding all daily office visits and surgery procedures

Reviews daily chart notes and codes appropriate CPT, ICD-10, and HCPCS codes

Understands and abides by billing compliance regulations

Understands concept of unbundling and heeds government regulations

Understands Medicare/payer groups rules and regulations

Physician/PA documentation training

Appends modifiers when appropriate Maintains procedure code master file.  Evaluates and develops new entries.

Reviews reimbursement from third party payers to ensure payment through proper use of codes

Maintains diagnosis code master files including identifying inappropriate codes and informing appropriate medical staff. 

Maintains charge ticket system including creating, updating and printing tickets as necessary.

Gathers, audits, corrects clinic charge tickets including checking for accurate patient demographic information and total charges by monitoring patient’s charts to verify information.

Enter all charges into computer system, ensuring correct daily totals.

Works with physicians to resolve coding issues.

Maintains fee schedules or Medicare, fee for service, health maintenance organizations.

Generates electronic and all other insurance claims attached physician notes as required.

Generates computer reports as required or requested.

Verifies signed ABNs and appends DME modifiers as appropriate

Assists with patient calls related to billing

Understands patient confidentiality laws and what signatures are required to release information

Clearly and accurately documents all correspondence regarding an account in a timely and appropriate manner

Responsible for accuracy and timeliness of coding directly related to accounts receivable.

 

 

 

 

COMPETENCIES:

To perform the job successfully, an individual should demonstrate the following competencies:

·       Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

·       Technical Skills - Assesses own strengths and weaknesses; Shares expertise with others.

·       Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.

·       Interpersonal Skills - Focuses on solving conflict, not blaming; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

·       Oral Communication - Speaks clearly and persuasively in positive or negative situations; Responds well to questions; Participates in meetings.

·       Written Communication - Writes clearly and informatively; Able to read and interpret written information.

·       Teamwork - Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

·       Change Management - Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.

·       Leadership - Exhibits confidence in self and others; Accepts feedback from others; Gives appropriate recognition to others.

·       Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.

·       Diversity - Shows respect and sensitivity for cultural differences; Promotes a harassment-free environment.

·       Ethics - Treats people with respect; Keeps commitments; Works with integrity and ethically.

·       Organizational Support - Follows policies and procedures.

·       Judgment - Includes appropriate people in decision-making process; Makes timely decisions.

·       Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles.

·       Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources.

·       Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

·       Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

·       Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions.

·       Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

·       Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.

·       Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

·       Initiative - Volunteers readily; Asks for and offers help when needed.

 

Typical Physical Demands:

Mobility:

*Must be able to walk, stand, climb stairs, bend to the floor – Frequently

*Must be capable of sitting for prolonged periods – Continuously

*Must be able to squat, stand for prolonged periods, remain in uncomfortable positions for long

  periods, crawl, kneel, twist, and reach in order to access files or objects – Frequently

 

Speech:

*Must have the ability to speak clearly and make self-understood in face to face

  AND phone interactions, as well as articulate with extreme accuracy and precision to interact with

  employees, patients, physicians, and others – Continuously

 

Strength:

*Must be able to push/pull and lift/move object up to 25 pounds – Occasionally

 

Manual Dexterity:

*Must be capable to using hands for moderately difficult manipulation such as stapling, typing, filing,

  writing, using copiers, calculators, fax machine, phones, opening/closing/locking/unlocking

  doors/drawers/cabinets – Continuously

*Must be able to use hands and arms for simple grasping, pushing, pulling such as carrying file folders,

  x-ray jackets, packages and boxes – Frequently

*Must be able to use hands for difficult manipulative tasks like inserting tapes into credit card

  terminals, changing ribbons/tapes on printers, etc. - Occasionally

 

Coordination:

*Must have the ability to perform tasks requiring actions of muscles and groups of muscles –

  Continuously

 

Visual Discrimination:

*Must have visual insight to allow for overseeing entrance/exit doors, observing people in lobby area,

  reading charts and documents - Continuously

 

Hearing:

*Must be capable of hearing normal sounds and voices with some background noise to answer phones,

  carry on conversations and listen. – Continuously

 

Concentration:

*Must be able of concentrating on minimal to fine detail with little to constant interruptions, such as

  answering phones, typing, filing, and assisting patients/visitors and scheduling. – Continuously

 

Attention Span:

*Must have the ability to attend to tasks for varying lengths of time ranging from less than 10 minutes

  to more than 60 minutes at a time such as filing, typing, scheduling, etc. – Frequently

 

Conceptualization:

*Must be able to understand and relate to specific ideas and capable of understanding concepts and

  reasons behind those ideas; this may include understanding privacy issues, completion of registration

  information, scheduling of procedures, etc. - Frequently

 

Memory:

*Must be able to remember verbal and written tasks for varying length of time ranging from a few

  hours to several days, such as phone messages, scheduling details, patients appointments and test

  results. – Frequently

*Must be able to remember verbal and written tasks for lengths of time ranging from several days to

  several months. - Occasionally

 

Environmental Conditions: 

*Exposure to blood, body tissues or other potentially infectious materials – Frequently

*Exposure to seasonal conditions in outside weather, including humidity or temperature – Occasionally

*Exposure to toxins or poisonous substances, hazardous material such as chemicals or bodily injuries

  and/or loud or unpleasant noise – Occasionally

*Exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and

  other conditions common to the clinic environment - Frequently

 

Equipment Utilized: Common electric switches, writing instruments, and equipment, phones, and common office equipment.  Medical devices may include scalpels, syringes, needles, etc. 

 

Responsibility in an emergency:  All employees are expected to respond to emergency situations involving the safety of patients, other employees and our physical office areas.

Applying

Jenifer Schulz
Human Resource Manager
jschulz@blountortho.com

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