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Morehouse School Of Medicine Coder/Coding Specialist in Atlanta, Georgia

Posting Number NONAC2008

Job Title Coder/Coding Specialist

Position Title Coder/Coding Specialist

Position Type Non-Faculty

Salary

Department Morehouse Healthcare (MHC)

Position Summary

Under minimal direction, independently and diligently reviews clinical documentation and diagnostic results as appropriate to validate and ensure correct procedural and diagnostic coding of professional service rendered by clinicians are in accord with documentation and coding guidelines for all patient care services; inpatient, outpatient, ambulatory clinic, primary care, behavioral health, surgical, and specialty clinics as documented in the medical records by the servicing provider.

Coders are responsible for the validation of provider, supplies, and/or diagnostic services rendered to patients documented in the medical record are “coded” correctly as well as assuring coded services are supported by appropriate documentation including medical necessity. Coders are objective to the service provided regardless of physician or patient. Charge specialists are involved in charge capture aspects to ensure that “charges” are entered into the billing system based an assortment of requirements; payor contracts; billing rules; patient/demographic information, eligibility, etc. Charge specialists are subjective to the patient.

JOB DUTIES AND RESPONSIBILITIES :

•Complies with Revenue Cycle policies and procedures.

•Works assigned task lists, work queues, workfiles and/or reports.

•Maintains current knowledge of third party payor reimbursements and managed care contracts.

•Maintains knowledge and is familiar with physician billing, accounts receivable, and EHR systems.

•Utilizes and identifies all components of Explanation of Benefits ( EOB )/Explanation of Payments ( EOP ).

•Accurately counts and tracks all daily activities and production.

•Completes and accurately documents activity or communication on accounts.

•Meets department production standards consistently as defined by department management.

•Works special projects as assigned by Manager, Supervisor, or Coordinator.

This list is not meant to be restrictive, totally inclusive, or limited in employee assignment or responsibilities.

Minimum Qualifications

EDUCATION REQUIRED :

High School Diploma or General Education Degree ( GED ) required.

EXPERIENCE REQUIRED :

Completion of a formal coding program with preference given to AHIMA , CCA , CCS , or AAPC approved coding credentials with a minimum of 2 (two) years of applied coding work or a minimum of 5 (five) years of coding experience in a physician billing Revenue Cycle or Central Business Office encompassing a working knowledge of the ICD -9-CM/ ICD -10 and CPT -4 coding systems, medical terminology, anatomy and physiology, and health record content required.

LICENSURE / CERTIFICATION REQUIRED BY LAW :

Certified Professional Coder ( CPC ) or Certified Coding Specialist ( CCS ).

QUALIFICATIONS :

  1. Knowledge of third-party insurance in regards to plan types: HMO , PPO , POS , and Indemnity.

  2. Knowledge of the Medicare and Medicaid Programs ( CMS ) particularly as it relates to CPT procedures and ICD -9/ ICD -10 diagnostic coding. Thorough knowledge of Medicare Fraud and Abuse regulations.

  3. Functional knowledge and understanding of the mechanisms of Electronic Medical Records ( EHR ) and Physician Billing Systems (PB).

  4. Possess full knowledge of HIPAA regulations.

    Preferred Qualifications

    Posting Date 06/10/2021

    Closing Date

    Open Until Filled Yes

    Special Instructions to Applicants

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