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Job Summary
Responsible for validating / reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office / clinic settings.
Adheres to all coding and compliance guidelines. Maintains knowledge of coding / billing updates and payer specific coding guidelines for multi-specialty medical practice(s).
Communicates with providers and team members regarding coding issues.
Accountabilities
- Abstracts / codes for assigned provider(s) / Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
- Utilizes appropriate coding software and coding resources in order to determine correct codes.
- Follows departmental policies for charge corrections.
- Participates in coding educational opportunities (webinars, in house training, etc.)
- Provides timely feedback to providers in order to clarify and resolve coding concerns.
- Responsible for resolving all assigned pre-billing edits.
- Maintain knowledge of governmentaland commercial payer guidelines.
- Assists with Compliance Team and Coding Educators to identify areas that need additional training.
- Communicates billing related issues to assigned supervisor / manager and participates in A / R meetings in order to improve overall billing when applicable.
- Mentor and assist in training for other coders and new team members when applicable.
Supervisory / Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Education High school diploma or GED or advanced degree.
Minimum Experience
2 years of Professional Billing or combined Coding / Billing
In Lieu of Minimum Requirements
Associate's degree with two years of professional billing, coding, or combined experience is preferred.
Required Certifications / Registrations / Licenses
Certified Professional Coder
Work Shift
Day (United States of America)
Location
1200 Colonial Life Blvd
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
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