Medical Biller

Purpose of Position: To assign & group diagnoses, procedure & level codes based on medical record documentation in accordance with coding compliance, regulatory & reimbursement requirements. To ensure appropriate coding for case mix classification & expected reimbursement based on assigned diagnosis, procedure & level codes & reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure & level codes & patient demographic information into computer system. Description: Analyzes, sequences & validates assigned codes based on medical record documentation using the automated encoder, book & coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology & medical terminology to appropriately code patient information. Reviews all medical record documentation to determine & assign diagnoses, procedures, level codes & modifiers. Ensures that coding compliance, regulatory & reimbursement requirements are met through the process of assigning reimbursement classifications. Abstracts & enters demographic, clinical & related patient information into the computer system. Assess adequacy of documentation & queries physicians & other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate & appropriate coding & grouping. Reconciles, identifies & retrieves medical records to be coded. Maintains a 95% ongoing accuracy rate. Consistently achieves daily coding output within the minimal productivity st&ards set by MACC. Self-manages & prioritizes workflow to achieve timely submission of claims & optimal productivity. Maintains accurate productivity logs & provides this information to management in a timely fashion. Assists in the orientation & development of new coding personnel. Assumes professional responsibility for development of skills & ongoing education to maintain Active Coding certification. Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs & meetings & reviewing pertinent literature. Continuously monitors medical record documentation, individual performance & department workflow as related to the coding function to identify problems & potential solutions (especially related to errors & compliance issues). Communicates with the PB Coding Manager to find solutions & implement changes to increase productivity & department efficiency. Performs all duties & interacts with others in a professional manner. Performs other related duties as assigned. Qualifications: High School Diploma or GED Two years of Outpatient Coding experience preferred Must meet CPC Certification eligibility requirements & must obtain CPC Certification within 3 months of position Ability to read, write & communicate in English Comprehensive understanding of ICD10 & CPT coding Successful passage of Coding exam, demonstrating understanding of coding & impact on reimbursement with a grade of 80% or higher Demonstrated ability to create strong working relations with physicians & practices. Capable of working independently as well as in a team environment Schedule Details: 40 Hours Per Week, Monday-Friday, 8a-4p, Occasional Weekends & Occasional Holidays. Hybrid Candidates Considered.