General Coder II

The Coder works in direct support of all clinical programs, ensuring professional physician services are properly coded prior to billing.

• Review patient documents for proper CPT, CPT Category II codes, ICD-10-CM code assignments, and quality reporting measures such as HEDIS.
• Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes.
• Communicate effectively with providers to ensure documentation supports reported codes.
• Report documentation and compliance concerns to Lead Coder and Business Services Manager.
• Serves as a resource regarding resolution of insurance denials and coding questions presented by A/R management personnel, residents, and providers.
• Meet coding production expectations.
• Participate in data collection, abstraction, and other reporting.

SUPERVISORY RESPONSIBILITY

No supervisory responsibility.

WORKING ENVIRONMENT/PHYSICAL DEMANDS:

General office environment-hybrid remote opportunities available, requiring computer usage (prolonged sitting, eye strain).

TRAVEL

No travel required.

• 5 years coding experience with medical coding certification, RHIT, AAPC or AHIMA and or/ 5 years coding experience with enrollment in certification course within the first year of employment. Required
• Extensive knowledge of CPT, HCPCS and ICD-10-CM code assignment. Required
• Working knowledge of Electronic Health Record and Computer proficiency. Required
• Experience coding for professional services and multi-specialty clinic setting. Preferred
• Medical billing experience. Preferred
• Epic System EHR experience. Preferred

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, activities may change at any time with or without notice.

CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.