Coder III

Essential Duties and Responsibilities:

Include the following. Others may be assigned.

• Performs all assigned billing in a timely manner
• Communicates with the physician the documentation needed to complete job functions
• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code
• Updates patient record with patient’s current insurance, address and telephone numbers
• Identifies primary care doctor and referral source with contact information and documents it in the medical record
• Performs claims follow up and reviews with billing agent in a timely
• manner
• Protects patient confidentiality according to HIPAA guidelines
• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines
• Identifies and attends one course/conference per specialty, per year to continue education in the coding field

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform

the job.

• AA Degree required
• Bachelors Degree preferred
• 5 years coding experience required
• Healthcare background is required
• CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required
• Coding scheme and reimbursement practices required
• RHIA, RHIT, CCS, CPC or COC certification is required
• Office, and Excel required
• Willingness to be flexible and adaptable in a complex, matrix environment

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