The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related worklists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practices codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-9/ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership, healthcare practitioners, practice management and staff; (6) Establish relationships with medical/dental staff, follow-up with providers to ensure documentation supports the diagnoses and E/M level in question; (7) Responsible for weekly chart audits for practice providers to optimize accurate documentation and coding. Additionally, all Medical Coder will participate in regularly scheduled cross-functional workgroups to coordinate and improve revenue cycle activities within all EMG practices and across Ellis Medicine. This position has significant responsibility for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner.Requirements
High School Diploma or Equivalent required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required.
Two (2) - five (5) years of out patietnt coding experiance required.
Hospital, physician practice or insurance coding and billing experience required.
Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payor regulations.
Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards. Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word.
Experience with Siemens Soarian systems and Allscripts electronic health record preferred.
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