Billing Coordinator / Coder Ambulatory - Physician Practice

Responsibilities

• Codifies patient information following ICD-10-CM, CPT, and HCPCS Guidelines.
• Abstracts data from medical records and submits it to the physician billing service.
• Verifies patient insurance and communicates with patients regarding charges and outstanding bills.
• Ensures proper authorization and form completion.
• Analyzes medical records for documentation deficiencies and performs daily coding and billing corrections.
• Assigns codes to clinical services and communicates with physicians for missing or incomplete documentation.
• Maintains compliance with NCCI and NCD/LCD edits.
• Maintains productivity and quality standards as set by HMH.
• Reports unusual circumstances, risks, errors, and discrepancies to management.

Qualifications

• High school diploma or equivalent.
• At least 1 year of coding experience 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 in Microsoft Office and Google Suite platforms.
• Ability to achieve and maintain appropriate coding quality and productivity as established by HMH.
• Preferred: Prior outpatient hospital ICD-10, CPT, and E&M coding experience.
• Required: Certified Coding Specialist, Certified Outpatient Coder, Certified Professional Coder, or Certified Coding Specialist - Physician Based.