Physician Billing Coder | Revenue Cycle - Team 2 - Cardiology | Days | Full-Time |CERTIFIED |REMOTE

 Posted 3 months ago
     
2-5 years experience
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AI Summary

The role involves reviewing clinical documentation to assign final diagnoses and procedures using ICD, CDM, HCPCS, and CPT codes to ensure accurate charge capture and proper reimbursement. Responsibilities include sequencing appropriate codes for insurance billing while strictly adhering to coding guidelines and legal requirements.
Overview

FTE: 1.0
Schedule: Monday – Friday, 8:00 AM – 5:00 PM
Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX

 

Job Summary:
Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes.


Responsibilities

Responsibilities

  • Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers.

  • Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing.

  • Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.

  • Communicate with Special Billers and Charge Follow-Up Coordinator to address insurance billing questions.

  • Review and correct charge review edits to ensure accuracy and completeness.

  • Review records to verify proper submission of services prior to billing on selected charges.

  • Maintain compliance standards in accordance with internal compliance policies and report compliance issues appropriately.

  • Collaborate effectively with other clinical areas and staff to support smooth workflow and communication.

  • Perform coding work requiring independent judgment with a high level of timeliness and accuracy.

  • Perform other related duties as assigned.


Qualifications

Qualifications:

 

  • Experience Requirements:
    • 3 years- Medical billing preferred
    • 3 years- Extensive experience in physician coding preferred
    • EPIC experience preferred

 

  • Education:
    • High School Diploma - required

 

  • Certification/Licensure
    • Certified Professional Coder (CPC) required

 

  • Additional Duties:
    • All other duties as assigned

 

 

UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.

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