Coder Certified

Jefferson Health Plans • Gibbon, MN

3d

About The Position

PRIMARY FUNCTION: Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and CPT codes. Educating physicians on compliance and correct coding and processing charges, review coding related denials. ESSENTIAL FUNCTIONS: Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values Educates new faculty members on the coding basics, as well as all university/department compliance policies Completes all accounts receivable and claims manager edits. Assists patients with billing and insurance related questions. Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required. Ensures billing compliance with third party payor requirements and regulations.

Requirements

• High School Diploma or GED required
• CPC Required through AAPC or CCS through AHIMA. Will consider someone who will obtain certification within six months.
• Minimum of one year of coding experience required
• Experience of Medical Billing and Coding in a physician practice.
• Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services.
• Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.
• Knowledge of anatomy, physiology and medical terminology
• Knowledge of third party billing and payment requirement, as well as requirements of managed care plans.

Nice To Haves

• Electronic Charge Entry , IDX, Allscripts, EPIC Experience Preferred

Responsibilities

• Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and CPT codes.
• Educating physicians on compliance and correct coding and processing charges
• Review coding related denials
• Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values
• Educates new faculty members on the coding basics, as well as all university/department compliance policies
• Completes all accounts receivable and claims manager edits.
• Assists patients with billing and insurance related questions.
• Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required.
• Ensures billing compliance with third party payor requirements and regulations.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED