Certified Medical Coder
Job Description
Job Description
Must Haves :
- Minimum of 2 years in medical coding
- Familiarity with ICD-10 codes and procedures
- Highly proficient at Excel
- Associate’s degree in medical coding or CPC Certification
Plusses :
- Fertility billing background preferred
- Working knowledge of medical jargon and anatomy preferred
Day to day :
A client of Insight Global is seeking a full-time, competent and knowledgeable Medical Coder / Biller. The new hire will possess a strong knowledge base of revenue cycle management, insurance and cash based revenue and first-class customer service skills.
- Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) HCPCS (Healthcare Common Procedure Coding System) and CPT (Current Procedural Terminology) codes.
- Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
- Follow up with the provider on any documentation that is insufficient or unclear
- Communicate with other clinical staff regarding documentation
- Advising and training physician and staff on medical coding
- Search for information in cases where the coding is complex or unusual
- Receive and review patient charts and documents for accuracy
- Review the previous day's batch of patient notes for evaluation and coding
- Ensure that all codes are current and active
- Performing chart audits
- Ensuring compliance with medical coding and policies
- Responsible for working directly with other team members on appeals and denials from insurance payors
- Will work directly with department manager, physicians, and other billing staff
- Preparing reports as requested by management team
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