Audits medical record documentation and coding to determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with coding guidelines, payer regulations, and clinic/hospital policy.
Educates physicians and clinical personnel to ensure complete medical record documentation and queries physicians to resolve incomplete or conflicting information for compliant coding and billing practices.
Trains coders to support coding and reimbursement knowledge, career ladder completion, and the development of training materials and reference documents.
Researches audit results, error reports, and denials, and works to resolve issues through appeal, staff education, and correction of discrepancies.
Serves in an advisory and educational capacity to coding staff, clinical staff, and physicians regarding documentation, coding, and regulatory compliance.
Reports to the CBO Coding Manager.
- Associate's degree in a related field, or 8 years of directly related experience in lieu of degree
- 4 years of experience with ICD-10, CPT, and HCPCS coding
- 4 years of extensive knowledge of medical terminology
- 4 years of related revenue cycle healthcare experience, preferably in coding and billing
- 3 years of experience in health information management or coding management in a physician practice/clinic setting preferred
- Prior Athena or Meditech experience preferred
- Experience with Phoebe Provider Group legacy financial systems preferred
- Required certification: CPMA, CCS, CCS-P, or CPC
Location
Georgia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago