Job Summary
The Medical Coder assists in the accurate and timely completion of medical records, charge entry, and coding for the Hospital, Care Center, and Clinic.
Supervisory Responsibilities
Core Competencies
- Coding and charge entry.
- Managing the Coding work queues in Epic.
- Assist in referral management and prior auth coding.
- May assist in the credentialing process.
- Work with the billers to help resolve denied or errored out claims.
- Assist in Telehealth process.
- Attend meeting and huddles as needed to ensure charge capture.
- Assist in HEDIS audits.
- Assist with quality audits /reports as needed.
- Serve as an engaged and active team member in meetings and process improvements on chargemaster and charge capture process.
- Assume other responsibilities as directed by manager.
Core Competencies
- Working knowledge of ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.
- Knowledge of information systems and healthcare applications
- Knowledge and experience in computer applications (Windows, MS Office, etc.)
- Knowledge of diagnosis, procedure and PCS coding
- Thorough knowledge of anatomy and physiology
- Excellent grammar and punctuation skills
- Ability to interact well with all staff, including medical staff
- Excellent organization skills
Education/Experience/Licensure
- Completion of medical billing/coding or administrative training or equivalent
- Experience desired, not required
Working Environment - Mental Demands/Physical Demands/Environmental Factors
- Tools/Equipment Used: Standard office equipment including computer and peripherals.
- Posture: Prolonged sitting; occasional bending/stooping, pushing/pulling, and twisting.
- Motion: Repetitive hand motions, frequent keyboarding, and use of mouse; occasional reaching.
- Lifting: Occasional light lifting and carrying (less than 35 pounds).