Clinic Billing/Coder

• Encompasses all aspects of medical coding for hospital services including office, outpatient hospital and inpatient services.
• Understands ICD-10, CPT, HCPCS codes and the rules and regulations related to such codes and specific payers as required.
• Interprets insurance guidelines relative to medical coding, and reading a medical chart.
• Understands daily balancing techniques, abbreviations and medical terminology, basic components of medical and laboratory procedure.
• Identifies targeted services and reports to auditing manager or may perform audit to include E & M coding documentation, review charge patterns and diagnosis coding.
• Assures ABN compliance.
• Educates providers to improve accuracy of chart coding by advising them on proper code selection, required documentation and procedures, identifies performance issues and brings issues to the attention of the appropriate supervisor.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Performs charge auditing and charge capture.
• May perform other duties as assigned or requested

Regulatory Requirements:

• Coder Certification Required – CPC, CMC, CCS or CCS-P.
• High School diploma or GED required.
• Prefer one-year coding experience