Job Detail

JOB DESCRIPTION

JOB OVERVIEW

JOB TITLE

Coder/Biller

JOB NO. / ID

PREPARED BY

Theresa Louckes

JOB
LOCATION

PCA Corporate

REPORTS TO

Theresa Louckes

DIVISION / DEPARTMENT

Revenue Cycle Department

REPORTS TO TITLE

Revenue Cycle Manager

POSITION DETAILS

JOB PURPOSE

To ensure correct diagnostic and procedural codes are applied to patient health records for utilization in data retrieval, analysis, and claims processing. Will provide administrative support in the interpretation and explanation of data. Will provide training and auditing to providers, coders, and other medical groups/department members.

DUTIES AND RESPONSIBILITIES

• Review Provider entries for appropriate diagnostic and procedural codes before claim submission
• Research and resolve general coding issues for billing office employees and providers
• Provide ongoing education and training to all necessary staff, including documentation requirements for providers, coders for claim submission, and billing staff for claim denial resolution
• Charge Entry-ensure charges are sent out timely for maximum payments
• Missing Charges and Unbilled Encounters-Continuously track and report issues
• Audits-Conducts quarterly audits on providers documentation/charges and offers feedback
• Monitor regulations for coding updates and changes, providing education as necessary
• Update NextGen systems-assist with notifying system administrator with code changes, additions, deletions, and edits
• Assist with various projects as assigned by Manager

WORKING CONDITIONS

• Working on-site in the Revenue Cycle Department

SUPERVISION RECEIVED

• Works under the direct supervision of the Revenue Cycle Manager

SUPERVISION EXERCISED

• Permission to directly contact members of Revenue Cycle Team, Providers, and other Departments to resolve issues and advise/train.

DIRECT REPORTS

QUALIFICATIONS

MINIMUM EXPERIENCE REQUIREMENTS

1-2 Years Certified Professional Coder (CPC)

1-2 Years Billing and Coding claims

PREFERRED EXPERIENCE REQUIREMENTS

3-5 Years CPC with Lead or Training experience. Experience in Cardiovascular codes. Experience with provider education.

MINIMUM EDUCATION REQUIREMENTS

High School Diploma

CPC

PREFERRED EDUCATION REQUIREMENTS

High School Diploma

CPC

REQUIRED
SKILLS

CPT Coding, ICD-10, DRG, Anatomy Knowledge, ICD Coding

PHYSICAL REQUIREMENTS

Must be able to work an 8-hour day with a good portion sitting. Should have a headset for hands-free tasks

REVIEWED BY: NAME & TITLE

DATE APPROVED

DATE REVIEWED

EMPLOYEE NAME

DATE Of HIRE

DATE SIGNED

EMPLOYEE SIGNATURE

INSPERITY EMPLOYEE ID

DISCLAIMER

Role Duties: and responsibilities undergo review by department managers, supervisors, and human resources annually. If a duty or responsibility becomes a primary function of the job, the asset will be considered an addition or clarification in the following review period. If the employee has any questions regarding their job description, they are encouraged to reach out to the Human Resources department to discuss.

Job Type: Full-time

Pay: $24.00 - $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus pay

Education:

• High school or equivalent (Required)

Experience:

• Medical Billing: 2 years (Required)

License/Certification:

• CPC (AAPC Accredited) or CCS-P (Required)
• AAPC or AHIMA Certification (Required)

Work Location: One location