Medical Coder II
Physician Group of Utah - Utah

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The role of a Coder is to provide coding support to clinic assigned in the assignment of ICD-9-CM diagnosis, CPT-4 procedure codes and HCPCs codes. Coders ensure that maximum reimbursement is achieved and a valid database is available for research, reporting, quality and improvement activities.

Key Responsibilities
Receives and reviews charge documents for accuracy
Reports on missing, incomplete, or inconsistent documentation to appropriate personnel
Educates providers and clinic staff of proper fee ticket completion and assignment of ICD-9-CM and HCPCS codes
Acts as a resource for Practice Managers, Physicians and CBO regarding insurance denials resolution and coding questions
Performs accurate charge entry in a timely manner
Accepts and posts co-pays, and balances charge posting
Keeps manager informed of the status of unbilled charges
Maintains a coding accuracy of 95%
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
Mentors Coder I team members regarding accuracy and required procedures
Assists with research for complex billing and coding issues
Maintains coding certification and attends in-service training as required
Completes assigned training and education
Performs other duties as determined by the Coding Manager

Minimum Requirements:
High School diploma or GED equivalent is required

Current CPC certification is required. Certifications to be completed within 6 months of hire will be accepted.

Three or more years experience in E&M coding

Three or more years experience in a specialty other than Primary Care.

Must be willing to travel to designated clinics in Davis and Salt Lake counties

Demonstrated ability to communicate effectively on the phone, in writing and via email

Ability to exercise discretion on sensitive and confidential matters

Demonstrated computer skills with data entry, coding and Electronic Medical Record software

Ability to apply mathematical concepts and calculations.

Ability to interpret policies and procedures and communicate effectively

Ability to show initiative, make decisions and exercise good judgment in a complex and rapidly changing environment

Ability to work in a team environment

Institutional accreditation and degree obtainment will be verified upon hire

Preferred Qualifications:
One or more years of demonstrated customer service experience

One or more years of coding experience in multiple specialties

Current credentials for a medical coding specialty

Demonstrated experience with NextGen EMR software

Thorough understanding of medical terminology, anatomy and physiology

Physical Requirements:
Work up to a 12 hour shift
Sit up to 6-8 hours a day
Stand and walk up to 4-6 hours a day
Speak and listen to internal and external customers
Bend to reach supplies/materials, reach with hands and arms throughout the day
Lifting, pushing, pulling
Grasp and manipulate tools
Key information into a computer workstation, use computer peripheral tools

Please Note:
All positions subject to close without notice
Must be willing to float to other locations

IASIS Healthcare - 19 months ago - save job - block
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