OPS Clinical Coder Lead

Job Description :

Extract billable services from the patient charts, apply appropriate Current Procedural Terminology (CPT), International Classification of Diseases (ICD-) codes, Healthcare Common Procedure Coding System (HCPCS) and American Dental Association Dental Procedure Codes and enter these services in AxiUm for submission.

Work closely with faculty, fellows and the Residents in the respective Divisions to provide education on correct coding, proper documentation to maximize physician reimbursement, and ensure compliance with federal and state regulations.

Oversees work of team of three other coders. Inform financial counselors and faculty of important changes in coding and reimbursement.

Schedules and facilitates education sessions to providers in regard to documentation, reimbursement, and compliance. Develops and maintains documentation standards for coding and documentation training to communicate to the providers individually and / or in groups.

Provides feedback to provider regarding billing and coding and works with provider to resolve these issues to ensure accurate coding.

• Works closely with treating providers to research problems and maximize revenues and preventing errors. Researches coding issues through all available resources, including but not limited to professional associations, federal and private payer guidelines, and coding networks.
• Attend continuing education courses, seminars, conferences, and meetings.
• Responsible for filling in during an OMFS financial office staffing shortage for financial counseling of patients and other assigned responsibilities as deemed necessary.

Expected Salary :

$. - $. per hour, commensurate with education and experience

Minimum Requirements :

High school diploma or equivalent and 5 years of professional medical coding experience. Appropriate college coursework or vocational / technical training may substitute at an equivalent rate for the required experience.

Preferred Qualifications :

Certified Professional Coder (CPC) / American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

Position would be expected to obtain coding certificate within one year of hire.

• Knowledge of various rules, regulations, and procedures for billing private insurance companies, Medicare, Medicaid for patient treatment.
• Experience with insurance billing.
• Ability to deal with the public in a tactful and courteous manner.
• Aptitude for effective verbal and written communication.
• Ability to plan, organize and coordinate work assignments.
• Capacity for understanding and applying applicable rules, regulations and policies and procedures.
• Ability to work independently.
• Ability to establish and maintain effective working relationships with others.
6 days ago