hyannis Work Opportunities ∙ Page 1

%3Cp style=%22font-family: Arial;%22%3E%3Cspan style=%22font-size: 16px;%22%3E1. %26nbsp; %26nbsp;Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E2. %26nbsp; %26nbsp;Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E3. %26nbsp; %26nbsp;Utilizes CPT and ICD-10 books to clarify physicians/extender code designation to ensure appropriate coding for Provider RVU assignment and appropriate billing of services provided.%26nbsp;%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E4. %26nbsp; %26nbsp;Accurately attaches all ICD-10 codes to the appropriate CPT codes and requests clarification from physicians when information is incomplete as well as adding appropriate modifiers for expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E5. %26nbsp; %26nbsp;Posts daily ICD-10 CPT, and HCPCS charges as well as patient demographic information into billing system(s), using physician/extender provided information on encounter/super bills.%26nbsp;%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E6. %26nbsp; %26nbsp;Assess adequacy of documentation, and queries providers and physicians to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E7. %26nbsp; %26nbsp;Maintains a 95% ongoing accuracy rate.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E8. %26nbsp; %26nbsp;Consistently achieves daily coding output within the minimal productivity standards set by management. Maintains accurate productivity logs, self manages and prioritizes workflow to achieve timely submission of claims; provides management timely updates.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E9. %26nbsp; %26nbsp;Works with Revenue Cycle and Medical Records Department to resolve billing issues and questions.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E10. %26nbsp; %26nbsp;Reviews and edits claims in CCH organization software programs, to assist billing dept in claim processing.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E11. %26nbsp; %26nbsp;Assumes professional responsibility for development of skills and ongoing education to maintain certification.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E12. %26nbsp; %26nbsp;Provides back up Physician Office Coder coverage as designated by management.%26nbsp;%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E13. %26nbsp; %26nbsp;Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.%3C/span%3E%3Cbr%3E%3Cspan style=%22font-size: 16px;%22%3E14. %26nbsp; %26nbsp;Performs other work-related duties as assigned.%3C/span%3E%3C/p%3E

• Ability to read, write and communicate in English.

• High School graduate or GED.

• Basic Computer skills.

• Active CPC (AAPC Certified Professional Coder) or 

  • CCS (AHIMA Certified Coding Specialist) or 

  • must meet CPC Certification eligibility requirements and must obtain CPC certification within 3 months of the position.

• Minimum 1 year of professional coding experience preferred.

• Comprehensive understanding of ICD-10 and CPT coding.

• Successful passage of the Coding exam, demonstrating understanding of coding and its impact on reimbursement.

• Demonstrated ability to create strong working relationships with physicians and practices.

• Capable of working independently as well as within a team environment.