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Coder Specialist II

Coder Specialist II

Job ID 
2017-1693
Location 
US-CO-Greenwood Village
Function 
Revenue Cycle Management
Employment Status 
Full-Time

More information about this job

Overview

Assists in billing administrative duties associated with the patient and insurance billing process. Performs CPT and ICD-9/ICD-10 code assignment while following all applicable rules and regulations.

 

Responsibilities

  • Adheres to all established billing and collection policies and procedures.
  • Reviews charge documents for accuracy and completeness and obtains information when incomplete.
  • Notifies management of incomplete/inaccurate information and tracks errors on a spreadsheet.
  • Assigns surgical CPT codes and converts to ASA procedure codes and assigns ICD-9/ICD-10 diagnosis codes. Obtains other applicable codes dependent on the insurance carrier.
  • Maintains a coding production of at least 20 cases per hour.
  • Takes physician calls regarding coding questions.
  • Assists Insurance Specialist team with medical records review/coding recommendation in the event of a denial.
  • Collaborates with staff to identify areas of improvement for staff and physicians on a regular basis.
  • Other duties as assigned by management.

Qualifications

  • Associate's degree from two- or four-year college or university; or two years related experience and/or training; or equivalent combination of education and experience.
  • Certified Professional Coder (CPC) or equivalent.
  • Knowledge of medical practices, terminology and reimbursement policies.
  • Knowledge of basic bookkeeping and accounting functions to maintain records and logs.
  • Skill in exercising initiative, solving problems, and making decisions.
  • Ability to communicate professionally with patients, physician office staff and others.
  • Ability to establish and maintain effective working relationships with others.
  • Ability to work independently with minimum supervision.
  • Knowledge of MS Word word processing software; MS Excel spreadsheet software; MS Outlook electronic mail software and GE Centricity Group Management billing software.

 

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