Certified Medical Coder

GENERAL DESCRIPTION OF POSITION

The Certified Medical Coder reviews clinical documentation and applies appropriate billing and diagnostic codes using accepted guidelines. Communicates with provider on missed billing opportunities. Works directly with insurance collector to review any claims that denied for coding and/ or medical necessity.

OUR COMPANY CULTURE

Care worthy of the call.

All members of our team are here to achieve a GOAL greatest of all lives for all patients.

All Together

We're united to put patient care and connection at the forefront.

All Arkansans

We believe that every Arkansan deserves to live an active, pain-free life through patient-focused, comprehensive care.

All the Way

We lead the state and region through innovation in technology, medicine, teamwork, practice, and performance.

For All Our Team

We cannot achieve this goal without each and every team member. We are committed to providing a great place to work so that you can live your Greatest life.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Responsible for coding and entering assigned clinical, hospital and surgical charges for their assigned physicians.
• Responsible for reviewing all information imported from into the practice management system and deleting what does not belong in the patients’ chart.
• Responsible for assisting pre-cert department and financial counselors with CPT and ICD-10 codes for upcoming procedures.
• Responsible for maintaining a coding spreadsheet of all charges received, missing, coded and keyed.
• Build new charts for all new patients seen in the hospital.
• Assist on-site staff for STAT coding issues.
• Assist in coding and entering assigned surgical and hospital charges as time permits.
• Review denied procedures for possible appeal and communicating that with collectors.
• Review the BREG spreadsheet to ensure all DME charges have been keyed in a timely manner.
• Responsible for maintaining the SVI uninsured spreadsheet and distributing appropriately.
• Ability to self-manage, self-start, be punctual, and pay close attention to detail.
• Must maintain a 95% accuracy rate on all coding with a 2–3-day turnaround time (as long as documentation is available).
• Attending orthopedic coding seminars as needed most will be local but there may be some travel involved if local is not available.
• Perform any other related duties as required or assigned.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty mentioned satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

EDUCATION AND EXPERIENCE

• High school or GED.
• specialized schooling and/or on the job education in a specific skill area; e.g. data processing, clerical/administrative, equipment operation, etc.
• 2 year’s related experience and/or training or equivalent experience.
• Thorough knowledge of orthopedic procedures/diagnoses and procedure codes.
• Ability to interact professionally and diplomatically with physicians, hospitals, insurance companies and coworkers.
• Extensive knowledge of medical terminology.
• Outstanding written and oral communication skills.
• Physician coding and billing experience.

REQUIRED CERTIFICATES, LICENSES, REGISTRATIONS

• Certified CPC through AAPC.
• ICD-10 certified if credentialed prior to 2015.

PREFERRED CERTIFICATES, LICENSES, REGISTRATIONS

• Not indicated.

SOFTWARE SKILLS REQUIRED

• Advanced: 10-Key
• Intermediate: Accounting, Alphanumeric Data Entry, Database, Other, Spreadsheet, Word Processing/Typing