Hybrid Ambulatory Surgical Center Coder (Certified) bei Austin Regional Clinic

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years!   We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/

PURPOSE

Responsible for abstracting and coding Ambulatory Surgery services for a range of surgical procedures using ICD-10-CM, CPT-4, HCPCS and other applicable classification coding systems. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

• Abstracts and ensures accuracy of diagnoses, procedures, patient demographics and other required data for charge entry.
• Thoroughly reviews patient medical records, surgical reports and physician notes to ensure all procedures are documented correctly.
• Understands and follows implant charging and coding.
• Performs charge entry functions.
• Using reports, audits fee tickets in charge review work queue for completeness and accuracy.
• Informs the ASC facility manager of conflicting or ambiguous information in the medical record prior to submitting charges.
• Assists facility and physicians with coding questions or concerns.
• Facilitates conversation and works as a liaison between CBO, Compliance, and ASC to resolve billing concerns such as claim denials and patient billing.
• Assists in writing appeals for denials.
• Serves as a resource for other ASC office staff.
• Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
• Participates in development and maintenance of all charge entry work queue edits.
• Researches and resolves problems with patient account related inquiries in work queues.
• Follows workflows consistent with the policies of the Compliance Plan.
• Supports compliance policies with government and private payer regulations.
• Adheres to all company policies, including but not limited to OSHA, HIPAA, compliance, and Code of Conduct.
• Follows the core competencies set forth by the Company, which are available for review on ARC SharePoint.

OTHER DUTIES AND RESPONSIBILITIES

• Obtains insurance eligibility and benefit details.
• May review records for completeness, accuracy and compliance with regulations.
• Works with the providers to communicate coding issues and submit adjustment journals as needed.
• Performs other duties as assigned.

QUALIFICATIONS

Education and Experience

Required: High school diploma or GED. Two (2) or more years of experience in Ambulatory Surgery coding, auditing and clinical information systems.   

Preferred: Associate’s or bachelor’s degree  preferred.

Certificate/License

• Must maintain Certified Professional Coder or other AAPC coding certification
• Must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan.

Knowledge, Skills and Abilities

• Excellent verbal and written documentation and communication skills.
• Knowledge of medical terminology.
• Familiarity with procedural and diagnostic coding.
• Familiarity with ICD and CPT coding methodology.
• Knowledge of medical insurance, collections, and appointments.
• Excellent customer service skills.
• Excellent computer and keyboarding skills, including familiarity with Windows.
• Excellent interpersonal and problem solve skills.
• Ability to work in a team environment.
• Ability to manage competing priorities.
• Ability to engage others, listen and adapt response to meet others’ needs.
• Ability to perform job duties in a professional manner at all times.
• Ability to align own actions with those of other team members committed to common goals.
• Ability to understand, recall, and communicate, factual information.
• Ability to understand, recall, and apply oral and/or written instructions or other information.
• Ability to organize thoughts and ideas into understandable terminology.
• Ability to apply common sense in performing job.

Work Schedule: Monday- Friday 8am-5pm