Certified Coder - Medical Group - Remote - Kettering - FT

Overview:

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Kettering Health Medical Group 

• Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas.   
• Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties.  
• Working collaboratively across specialties, we offer patients a team-based model of care in which the patient is the most important member of the healthcare team.

Responsible for coding and abstracting all inpatient and outpatient patient records using ICD-9-CM and CPT/HCPCS coding rules, federal guideline and KMCN guidelines.  Supports hospital’s accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision making process.  Supports clinical outcomes measurement and assessment process for service lines.  Completes assigned duties and other related tasks.  The list is not inclusive; duties may be modified to fulfill departmental needs or goals.  

The Certified Coder is responsible for:

• Identify accounts, which may have potential reimbursement problems and initiate corrective action to minimize any financial losses.
• Use and maintain computers, fax machines, copy machines, printers, and other office equipment necessary for efficient processing of patient information and documents.
• Prepare and bill accounts promptly ensuring their accuracy and completeness.
• Direct patients toward appropriate payment options when need is demonstrated.
• Initiate financial evaluation process where indicated for uninsured or underinsured patients.
• Evaluate accounts to insure all 3rd party reimbursement has been exhausted.
• Initiate appropriate follow-up on accounts at proper intervals.
• Research credit balances to assess disposition of funds and process as directed by departmental policy.
• Evaluate and submit accounts for appropriate disposition or preparation for outsourcing.
• Other administrative responsibilities include but are not limited to: sending, receiving and distributing faxes and emails, researching, following up with and answering questions for patients and staff, file maintenance, creating reports, memos and forms, maintaining inventory and office supplies.
• Any other duties relating to the business operation of the medical practice that may be assigned by the physician(s) or practice office manager.

Job Requirements:

• Completion of a high school diploma or equivalent required.
• Previous finance, accounting, or billing experience required
• Must be able to maintain confidentiality/discretion.
• Patient, courteous, and tactful.
• Ability to communicate and relate well with office staff, ancillary departments and the public.
• Ability to follow direction, accept orders and perform repetitive tasks.
• Computer literate – skilled in word processing, spreadsheets, and email.
• Ability to comprehend established office routines and policies.
• Good organization skills.

• Post-high school training in finance, billing, or accounting preferred.
• Previous experience in a medical environment preferred
• Knowledge of medical terminology, CPT & ICD-9 coding preferred.