Job Purpose
Utilize coding skills to work invoice reviews and provide expert advice to billing staff.
Duties and Responsibilities
- Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners
- Assign and sequence all CPT and ICD-10 codes for services rendered when required
- Work with billing staff and system WQ's to ensure proper payment of claims
- Comply with all Medicare policy requirements including coding initiatives and guidelines
- Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Work independently from assigned work queues
- Maintain confidentiality at all times
- Maintain a professional attitude
- Other duties as assigned by the management team
Qualifications
- CPC certification AAPC or CCS certification from AHIMA
- High School graduate or equivalent
- Minimum two years of coding experience
- Knowledge of Microsoft Word, Outlook, Excel
- Must be able to use job-related software
- Surgical coding experience a plus
Working Conditions
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
- Work Environment: The noise level in the work environment is usually minimal
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
