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Coder - Biller in Roxboro, NC at Person Memorial Hospital

Date Posted: 1/31/2019

Job Snapshot

Job Description

Person Memorial Hospital

Assigns accurate ICD diagnosis codes, using compliant documentation.
Assigns accurate CPT/HCPCS codes to records, using compliant documentation.

Applies knowledge of Coding Guidelines to select the appropriate diagnosis code.

Uses available research and reference tools to understand the disease process and diagnosis.

Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation.

Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature.

Review payments for accuracy from contracted payors.

Reviews, evaluates and verifies data to determine if it is complete, accurate, and/or meets designated criteria.

Abstracts, edits, classifies, and/or codes data correctly to compile information into appropriate format.

Performs data access, submission, and retrieval functions correctly and efficiently to run jobs and generate requested printouts.

Analyzes results of reviews, audits, research, and related issues, and reports findings accurately and effectively in presentations or in writing.

Verifies that keyed information is accurate, complete, and current and makes corrections as needed.

Maintains data in computerized or manual systems by entering data appropriately, updating records, and accessing data efficiently.

Maintains effective coordination of activities with others to accomplish work activities and departmental goals.

Maintains contact with Hospital and/or outside agency personnel to obtain information and answer inquiries.

Clearly, concisely and patiently explains policies, procedures and other pertinent information regarding credit and collections to involved parties, so that understanding and compliance are maximized. Advised patients of available payment methods, assessing and recommending the most viable method based on individual circumstances

Promptly responds to patients’ needs relating to their accounts. Ensuring communications are reflective of the goals, objectives and philosophy of the department.

Reviews and process financial profiles for payment arrangements.

Arranges deposits for self pay patients, co-pay and deductibles for non-emergency and elective procedures. Following up with physician offices, patient and involved hospital departments.

Possibility of processing all forms and necessary documents for filing accounts in small claims court.

Follows all corporate compliance rules and regulations and HIPAA regulations.

Keeps supervisor informed of all aspects of assigned responsibilities on an on-going basis, ensuring prompt notification in the event of problems or potential problems.

Job Requirements

Minimum Education High School Diploma or GED Equivalent Required Certification: Certified Medical Coder is required.
Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Good customer service skills; excellent oral and written communication skills.

Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).

Has knowledge of and abides by HIM.COD policies.

Minimum Work Experience
Prefer 1-2 years of healthcare experience and electronic medical record experience

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran