• Coder/Medical Billing Spec

    Premier Health (Moraine, OH)


    CentralizedBilling Office

     

    FT/DAYS/ 80 hours per pay

    Summaryof Position

    To assign diagnosis and procedure codes

    according to provider documentation adhering to the official coding guidelines

    set forth by the AMA, ICD-10-CM, AHIM, CMS, and HCFA. Position may also require management of

    accounts receivable for timely and maximum reimbursement by adhering to company

    billing and collection policies.

     

    Natureand Scope

     

    The Coder/Medical Billing Specialist is

    responsible to assign and report these more specified codes from clear and

    concise provider documentation. The Coder/Medical

    Billing Specialist interfaces routinely with physicians, managers, and office

    staff to insure documentation is clear and consistent, to maintain a continuous

    flow of information processing. The Coder/Medical

    Billing Specialist is responsible to insure providers are notified of addendums

    to documentation as needed to insure accurate and timely processing of all

    third party billing (claims). The Coder/Medical Billing Specialist’s responsibilities

    may also include all system documentation, adjustments, charge and payment

    entry as required until collection or final disposition of the account balance

    is resolved. The Coder/Medical Billing

    Specialist performs daily, monthly and special system processing requirements.

    Qualifications

    1. Minimum High School diploma orequivalency certificate

    2. Minimum of one year physician codingexperience in conjunction with formal education in coding, (CPC, AHIM, RMC,CPC, CCS-P); or AB, AS from accredited college in Healthcare, which includescoding, medical terminology, and medical systems), medical terminology and/oranatomy; and/or a minimum of three years demonstrated coding “from physician documentation”experience.

    3. A minimum of three years previoushealthcare billing, collections experience, and/or managed care experience.

    4. Knowledgeable about third party billingregulations and CPT/ICD coding.

    5. Demonstrate accurate and timely dataentry skills.

    6. Familiar with various computer applications(ex: Microsoft Word, Excel, and billing software systems).

    7. Knowledge of spreadsheet applicationspreferred.

    8. Proven record of dependability

    9. Strong people, communication anddecision making skills.

    10. Must pass a basic CPT and ICD codingtest prior to hire, if coder has no credentials.