Physician Billing Coder II | Patient Billing Coordinators | Days | Full-Time | CERTIFIED | REMOTE

Summary:

Review, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider's documentation

following all compliance policies and guidelines. Accurately codes office and hospital procedures for providers to ensure

reimbursement. Provides physician education to the providers to ensure proper completion of Electronic Health Records

and proper assignment of ICD 10 CDM, HCPCS and CPT codes, verbally, physically, and in written forms.

Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.

• Interacts with providers to provide feedback/education utilizing physical, verbal and written communication skills.

• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed.

• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.

• Communicates with Physicians, other business group personnel, clinical areas, and staff in coding related questions.

• Manage coding related edit work queues.

• Prepares documentation audits with written results and trend data. Presents the results to the Provider, Department Chairman, and/or Compliance Officer.

• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.

• Identify and account for missing charges and/or documentation.

• Performs coding work requiring independent judgment with timeliness and accuracy.