Job Description
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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