GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/he…
Skills: Medical coding, ICD-10-CM, Medical terminology, Anatomy, Physiology
Billing medical claims, while helping to audit rejections, monitor and support new centers onboarding, monitor and track new procedures codes and specialty items for billing accuracy, monitor and help resolve billing/cod…
Skills: Medical billing, Claims auditing, Coding discrepancy resolution, Medical record auditing, Payer billing requirements
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Bryan, Texas, United States · On-site
Entry level$2.6B raised
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Full-time
professional certificate, associate degree
Posted 14d ago
~40 hrs/week
Responsibilities
The Certified Coder is responsible for reviewing medical records, accurately coding patient charges, and processing them in a timely manner. They also perform quality control reviews, track record deficiencies, and assist facility staff and physicians with departmental operations.
Requirements
Candidates must hold a Certified Professional Coding certificate and possess functional knowledge of medical terminology, anatomy, and physiology. An associate's degree is preferred, along with at least five years of medical coding experience and proficiency in ICD-10-CM.
Full job description
GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.
SUPERVISION RECEIVED: Billing & Coding Supervisor
EDUCATION/EXPERIENCE: 1. Certified Professional Coding Certificate. 2. Associate’s degree preferred or 5 years medical coding experience. 3. Must have functional knowledge of medical terminology, anatomy, and physiology. 4. Prior experience coding with ICD-10-CM. KNOWLEDGE: 1. Knowledge of clinic policies and procedures. 2. Knowledge of pain management coding, and Spine procedure coding 3. Knowledge of computer systems, programs, and spreadsheet applications. 4. Knowledge of medical terminology. 5. Knowledge of collection practices. 6.. Knowledge of governmental, legal, and regulatory provisions related to collection activity.
ESSENTIAL FUNCTIONS: 1. Analyzes accurately outpatient charts, records all deficiencies, and assigns appropriate responsibility for completion. 2. Develops a system for and performs regular quality control reviews for accuracy. 3. Tracks problems, related to record completion, and reports these to the Supervisor. 4. Assures that records are available when requested. Controls record completion for medical staff. 5. Assures coding is completed on all patients within two working days of discharge, and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable. 6. Completes data entry, claim, and report generation. 7. Demonstrates a functional knowledge of all departmental operations and relates them to the company’s overall objectives. 8. Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores, suggests, and pursues professional enhancement opportunities for self. 9. Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers, patients, families, payors, physicians, and their office personnel, co-workers, and supervisors. 10. Performs other related duties as required necessary for this position, or as may be required to meet emergency situations. 11. Assures CPC certification is current. 12. Stays abreast of any changes in guidelines. 13. All other duties as assigned.
SKILLS: 1. Skills in gathering and reporting claim information. 2. Skills in solving utilization problems. 3. Skills in written and verbal communication, as well as customer relations. 4. Skills in working with Windows based software systems. PERFORMANCE EXPECTATIONS: 1. Ability to code medical records with ICD-10-CM. 2. Well developed organizational and communication skills (both written and verbal). 3. Highly professional, confident, conscientious, and cooperative attitude. 4. Must be able to recognize and apply priorities, as well as exhibit attention to detail. 5. Excellent communication skills with various internal and external entities. PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a normal office environment.
ENVIRONMENTAL/WORKING CONDITIONS: Normal, busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Related keywords
Medical codingICD-10-CMCPT-4Medical terminologyAnatomyPhysiologyPain managementSpine procedureBillingData entryQuality controlClaim generationSpreadsheet applicationsWindowsHealthcarePatient records
Creating exceptional value for our patients, physicians and payors through our unique healthcare delivery model.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2004
Headquarters
Brentwood, Tennessee
LinkedIn followers
22,554
Total funding
$2.6B
Surgery Partners is a leading operator of surgical facilities and ancillary services with more than 180 locations nationwide. We provide exceptional integrated healthcare experiences between our providers and patients.
Our diverse company operates multiple types of healthcare services dedicated to improving the quality of care in a convenient and cost-effective manner.
Our integrated approach to advancing markets allows for flexibility to provide care on an individualized, local market basis. Whether entering into a new market with surgical facilities, ancillary services or joint ventures with health systems, or furthering an existing market’s growth potential by focusing on base business, in-market development and new service lines, our experience has shown us that no two markets are alike. We see value in individuality.
At Surgery Partners, our mission is to enhance patient quality of life through partnership. Surgery Partners is an organization deeply committed to providing quality, compassionate and personalized care, to meet the needs of our diverse patients, employees and physician partners in the communities in which we serve. Our colleagues are critical in achieving that mission. As it truly brings out the best in all of us, Surgery Partners is committed to diversity and inclusion.
Our Surgery Partners team is comprised of more than 15,000 employees and 4,600 affiliated physicians, serving more than 600,000 patients annually. Want to work with us? Check out our website for current employment opportunities.
Offices: 340 Seven Springs Way, Suite 600, Brentwood, Tennessee 37027, US
Ambulatory Surgery CentersAnesthesiology GroupsHealthcare SolutionsHospitalsAncillary ServicesTotal Joint ReplacementNursingand PhysiciansHospitalHealth Care
Creating exceptional value for our patients, physicians and payors through our unique healthcare delivery model.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2004
Headquarters
Brentwood, Tennessee
LinkedIn followers
22,554
Total funding
$2.6B
Surgery Partners is a leading operator of surgical facilities and ancillary services with more than 180 locations nationwide. We provide exceptional integrated healthcare experiences between our providers and patients.
Our diverse company operates multiple types of healthcare services dedicated to improving the quality of care in a convenient and cost-effective manner.
Our integrated approach to advancing markets allows for flexibility to provide care on an individualized, local market basis. Whether entering into a new market with surgical facilities, ancillary services or joint ventures with health systems, or furthering an existing market’s growth potential by focusing on base business, in-market development and new service lines, our experience has shown us that no two markets are alike. We see value in individuality.
At Surgery Partners, our mission is to enhance patient quality of life through partnership. Surgery Partners is an organization deeply committed to providing quality, compassionate and personalized care, to meet the needs of our diverse patients, employees and physician partners in the communities in which we serve. Our colleagues are critical in achieving that mission. As it truly brings out the best in all of us, Surgery Partners is committed to diversity and inclusion.
Our Surgery Partners team is comprised of more than 15,000 employees and 4,600 affiliated physicians, serving more than 600,000 patients annually. Want to work with us? Check out our website for current employment opportunities.
Offices: 340 Seven Springs Way, Suite 600, Brentwood, Tennessee 37027, US
Ambulatory Surgery CentersAnesthesiology GroupsHealthcare SolutionsHospitalsAncillary ServicesTotal Joint ReplacementNursingand PhysiciansHospitalHealth Care