Billing Coordinator / Coder Ambulatory - Obstetrics - Physician Practice

Responsibilities

• Codifies data following ICD-10-CM, CPT, and HCPCS Guidelines for Coding and CMS directives.
• Abstracts data from patient medical records for submission to the physician billing service.
• Verifies patient insurance and acts as a liaison with patients regarding charges and assists with outstanding bills.
• Ensures proper receipt of authorization/referral and completion of all forms.
• Analyzes medical records and identifies documentation deficiencies.
• Daily monitoring of all WQ`s for coding and billing corrections.
• Assigns codes to clinical services performed for use in reimbursement and data collection.
• Assigns CPT, HCPCS, and ICD-10-CM codes.
• Assesses clinical documentation and communicates with physicians and advanced practice providers for additional information when documentation is missing or incomplete.
• Maintains required productivity and quality requirements.
• Complies with HMH Organizational policies, procedures, and standards of behavior; maintains patient record.
• Reports unusual circumstances, possible risk factors, errors, and discrepancies to management.

Qualifications

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 1 year of coding for professional services.
• Strong understanding of physiology, medical terms and anatomy.
• Proficiency in computer skills including typing speed and accuracy.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
• Prior working experience with outpatient hospital ICD10 diagnosis, CPT procedural and E&M coding experience is desired.
• American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential preferred.