Billing Coder Specialist

Descripción del trabajo

As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. The magic we’ve created lies in Carbon Health’s custom EHR and the collaboration among clinical teams, engineers, and designers who work side-by-side to deliver innovation like our hands free AI charting tool. That’s why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better.

THE JOB AT A GLANCE

This role will be responsible for reviewing medical record documentation for accurately

assigning diagnostic and procedural coding relative to revenue and reimbursement for all encounters associated with Carbon Health entities. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. ICD-10-CM and CPT code assignments must be consistent with CMS’ Official Guidelines and any regulatory agency guidelines.

We will look to your knowledge of CPT, ICD-10 coding guidelines, compliance and professional billing practices; including knowledge of Evaluation and Management Guidelines to coordinate with Coding Leadership to identify provider education and revenue opportunities.

WHAT YOU’LL DO

• Complete accountable work related to pending charges in work queue review to ensure timely billing in conjunction with billing and compliance guidelines.
• Coder will be assigned a specific date range and will be responsible for completing that specific work.
• Coder must have experience and Knowledge in Urgent Care and Primary Care services, minor procedures, medication, injection, vaccines, diagnostics and point of care tests billing guidelines.
• Coder will be responsible for completing and assigning accurate ICD-10 and CPT diagnostic codes to ensure highest level of specificity and to ensure optimal reimbursement and coding quality. This includes; reviewing outpatient clinic medical records for auditing purposes to ensure correct billing and compliance.
• Coder is responsible for capturing charges based on documentation such as diagnostic tests, point of care tests, verifying physician's orders, and other pertinent documentation that supports additional charges to be billed if the provider did not bill for that service.
• Accountable for coding cases within the designated time frames to meet strict deadlines. Coders are expected to complete at least 60 charts per day
• Coder will also be responsible for communicating with senior medical coders if a claim needs to be correct due to findings while reviewing/auditing outpatient clinic records.
• Responsible for keeping abreast of current ICD-10 and CPT coding guidelines and regulatory guidance; including responsibility for maintaining current coding certification status
• May be involved in some Billing work - claim denials and/or rejections, claim review, etc.

Required Coding Experience

• 1+ years coding experience, billing for professional services, and related experience
• Associate degree in related field or equivalent experience may be substituted
• Current AAPC Certified Professional Coder (CPC) certification OR Certified Outpatient Coder (COC), AHIMA- Certified Coding Specialist-Physician Based (CCS-P), Practice management Institute- Certified Medical Coder (CMC
• Expertise of Coding and Billing Guidelines for multiple specialties
• Technical knowledge and skills of electronic medical records