Back to Category ListGeneral Coder II (Full Time)
Department: Medical Billing/Coding
Overview:
The coder works in direct support of all clinical programs, ensuring professional physician services are properly coded prior to billing.
Responsibilities:
- Review patient documents for proper CPT, CPT Category II codes, ICD-10-CM code assignments, and quality reporting measures such as HEDIS.
- Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes.
- Communicate effectively with providers to ensure documentation supports reported codes.
- Report documentation and compliance concerns to Lead Coder and Business Services Manager.
- Serves as a resource regarding resolution of insurance denials and coding questions presented by A/R management personnel, residents, and providers.
- Meet coding production expectations.
- Participate in data collection, abstraction, and other reporting.
Required Qualifications:
- 5 years coding experience with medical coding certification, RHIT, AAPC or AHIMA and or/ 5 years coding experience with enrollment in certification course within the first year of employment.
- Extensive knowledge of CPT, HCPCS and ICD-10-CM code assignment.
- Working knowledge of Electronic Health Record and Computer proficiency.
Preferred Qualifications:
- Experience coding for professional services and multi-specialty clinic setting.
- Medical billing experience.
- Epic System EHR experience.
CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
