Overview
Summary:
Review, monitor, and control charge capture and documentation. Provide on-site physician feedback for coding/documentation practices. Assist physicians with documentation and billing compliance guidelines.
Responsibilities
Responsibilities:
• Review clinical documentation and code to the highest level of specificity for accurate charge capture stated by physicians or other healthcare providers.
• Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS for insurance billing.
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.
• Communicates with Special Billers and Charge Follow-up Coordinator in answering insurance billing questions.
• Reviews and corrects charge review edits.
• Reviews records to ensure proper submission of services prior to billing on selected charges.
• Maintains compliance standards in accordance with internal compliance policies. Reports compliance issues appropriately.
• Works in cooperation with other clinical areas and staff.
• Performs coding work requiring independent judgment with timeliness and accuracy.
• All other duties as assigned
Qualifications
Qualifications:
• Experience Requirements:
• 3 years- Medical billing preferred
• 3 years- Extensive experience in physician coding preferred
• Education:
• High School Diploma - required
• Certification/Licensure
• Certified Professional Coder (CPC) required
• Additional Duties:
• All other duties as assigned
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.
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