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Coder Specialist II

Coder Specialist II

Job ID 
2017-1623
Location 
US-TX-Houston
Metro Area 
Houston, TX
Function 
Revenue Cycle Management
Employment Status 
Full-Time

More information about this job

Overview

U.S. Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates.  By joining our team you will participate in a highly collaborative and dynamic environment.  As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team.  We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.

 

We are proud of our inclusive people culture that supports our associates to perform at their best.  USAP is an equal opportunity employer.  Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package. 

 

 

Medical Coders are responsible for properly coding provider encounters. The coding specialist, level II is a mid-level coder certified by a recognized professional organization. The coder performs all coding functions assigned to a mid-level, more experienced coder based on their knowledge. They are highly proficient with a solid understanding of the billing workflow. Performs all coding functions and assists other areas in the billing department as assigned by the manager.

Responsibilities

  • Accurately code from available documents using current CPT, ICD-10, ASA and HCPCS codes as appropriate
    • Capture all billable charges
    • Capture all quality reporting measure elements
  • 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
    • Contacts providers as needed
  • Review charges that are sent back from the billing department for additional information and make necessary corrections
  • Assist in research of coding denials or inquiries from the collections staff. Perform coding related charge corrections as needed.
  • Assist in providing estimates for services, as required
  • Maintain certification CEU requirements

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

 

    • Knowledge of CPT, ICD-9, 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 

EDUCATION/TRAINING/EXPERIENCE:

 

  • High School graduate or equivalent.
  • Associate degree preferred
  • Current CPC or CCS-P required
  • 2 – 5 years coding experience  
  • Meets or exceeds expectations

 

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