Certified Coder - PPG Business Office
- Job Number: 30102
- Location: Phoebe North Campus - Albany
-
Address:
2000 Palmyra RoadAlbany,GA
- Postal Code: 31701
- Shift: Day Shift
- Job Type: Full-time
- Posted Date: 8/16/2024
Description
JOB SUMMARY
Qualifications
EDUCATION REQUIREMENTS
JOB SUMMARY
- Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis.
- Adheres to the hospital and departmental attendance and punctuality guidelines
- Performs all job responsibilities in alignment with the core values, mission and vision of the organization
- Performs other duties as required and completes all job functions as per departmental policies and procedures
- Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
- Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
- General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
- May be required to change from one task to another of different nature without loss of efficiency or composure.
- Periods of high stress and fluctuating workloads may occur.
- May be scheduled as needed including overtime
- May require occasional travel to outside facilities for meetings or education.
Qualifications
EDUCATION REQUIREMENTS
- High School Diploma or GED (Required)
- Vocational / Technical Degree (Preferred)
- 2 year / Associate Degree in Health Information Management (Preferred)
- 2 - 3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred)
- 2 - 3 years Broad knowledge of medical terminology and anatomy. (Preferred)
- Required Certifications/Licensures: Coding Certification (CPC or CCS)
- Preferred Certifications/Licensures: CPMA
- Organizational Skills
- Communication Skills
- Interpersonal Skills
- Customer Relations
- Mathematical
- Analytical
- Grammar / Spelling
- Read / Comprehend Written Instructions
- Follow Verbal Instructions
- Basic Computer Skills
- Microsoft Office Suite
- General Clerical Skills
- Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors
- Ability to perform repetitive tasks/motion
- Standing - Occasionally within shift (1-33%)
- Walking - Occasionally within shift (1-33%)
- Sitting - Continuously within shift (67-100%)
- Bending/Stooping - Occasionally within shift (1-33%)
- Twist at waist - Occasionally within shift (1-33%)
- Pushing/Pulling - Occasionally within shift (1-33%)
- Lift/carry up to 20 lbs - Occasionally within shift (1-33%)
- Reaching above shoulder - Occasionally within shift (1-33%)