Certified Pain Management Coder

US-CO-Greenwood Village
Job ID
2017-1576
Function
Revenue Cycle Management
Employment Status
Full-Time

Overview

The certified coder is a highly proficient employee with a solid understanding of the entire billing workflow. Performs all coding functions and assists other areas in the billing department as assigned by the manager. 

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

 

  • Codes E&M visits and procedures for Pain Management charge tickets.
  • Reviews CPT, ICD-10, ASA and HCPCS coding on charge tickets.
  • Reviews pain management records for supporting documentation for charge tickets.
  • Reviews medical records for supporting documentation for charge tickets.
  • May require sending back to the providers for additional information.
  • Review all incomplete or inaccurate charge tickets that are sent back from the billers for additional information and make necessary corrections.  
  • Works edits and denials.
  • Audits records and provides education to physicians on coding information.
  • Performs education sessions with providers.
  • Deliver coded charts to assigned box for delivery to billing department.
  • Assist Billing and AR Department as needed. 
  • Communicates issues and questions to management when appropriate.
  • Maintains strictest confidentiality.
  • Perform other duties as assigned.

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

 

  • Knowledge of CPT, ICD-10, ASA and HCPCS coding.
  • Background in Medical Terminology required.
  • Background in Anatomy and Physiology preferred, but not required.
  • 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.
  • Must have a pleasant disposition and be a team player.
  • Ability to work independently with limited supervision.
  • Ability to travel to local provider locations to perform education sessions
  • Must report to work consistently, on time, and for expected duration
  • Communicate well with the public
  • Ability to read, write, and speak English

EDUCATION/TRAINING/EXPERIENCE:

  • High School graduate or equivalent.
  • CCS- P or CPC professional certification is required.
  • Minimum of three years coding experience in a healthcare business office is preferred.

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