Medical Coders are responsible for properly coding provider encounters. The coding specialist, level I is an entry level coder certified by a recognized professional organization, or a coder with appropriate experience who is working toward gaining a recognized certification.  The coder performs all coding functions assigned to an entry level coder based on their knowledge.

Essential Duties and Responsibilities

• Accurately code from available documents using current CPT, ICD-10, ASA and HCPCS codes as appropriate
• Capture all billable charges
• Review billing records for supporting documentation as needed for accurate coding and to maximize revenue
• Identify and split bill cosmetic or case rate cases as needed
• Review or facilitate review of facility medical records for supporting documentation as needed and as available for accurate coding and to maximize revenue.
• Understand the importance and the process of holding a claim as needed until sufficient information can be obtained for proper billing and to maximize reimbursement.
• Review charges that are sent back from the billing department for additional information and make necessary corrections.
• Maintain certification CEU requirements.
• Maintains strictest confidentiality.
• Adhere to all company policies and procedures.

Qualifications

The requirements listed below are representative of the knowledge, skill, and ability required.

Qualifications include:

• 0 – 2 years coding experience.
• High School graduate or equivalent. 
• Associate degree preferred.
• Current CPC or CCS-P required or working toward certification as a condition of employment.
• Knowledge of CPT, ICD-10, ASA and HCPCS coding.
• Knowledge of all payer rules and regulations.
• Knowledge of medical terminology and anatomy.
• Ability to multi-task and prioritize needs in order to meet timelines.
• Knowledge of organization policies, procedures and systems.
• Skill in computer applications including MS Word, MS Excel.
• Skill in verbal and written communication.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians and external customers.
• Must have a pleasant disposition and be a team player.
• Ability to work independently with limited supervision.
• Must report to work consistently, on time, and for expected duration.
• Ability to read, write, and speak English.

Working conditions and physical requirements

The physical demands described here are representative of those that must be met by an employee to successfully preform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Requires prolonged sitting, some bending, stooping and stretching.
• Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment.
• Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. 
• Requires lifting papers and boxes weighing up to 35 pounds occasionally.
• Requires dexterity to type at least 35 wpm.
• Work performed in office environment.
• Involves frequent contact with professional staff and managed care organizations.
• Work may be stressful at times.
• Interaction with others is frequent and often disruptive.

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.