Coder – IPT
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Job Description
Coder at Phelps Health ensuring accurate medical billing and coding according to AMA and CMS guidelines. Responsible for maintaining certification and productivity standards in remote conditions.
Responsibilities:
- The coder is responsible for ensuring appropriate levels of service being billed according to the American Medical Association (AMA) and Center for Medicare and Medicaid Services (CMS) guidelines.
- Assigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim.
- Abstracts specified data and information from patient records in order to determine appropriate modifiers for claim submission.
- Queries providers for clarification of documentation when unclear or inadequate in order to code accurately.
- Requests providers to complete addendums as necessary.
- Stays up-to-date with coding guidelines, rules, and regulations and applies those guidelines to all types of patient accounts.
- Abides by AAPC’s “Standards of Ethical Coding” and Phelps Health’s Corporate Compliance coding guidelines.
- Monitors providers documentation for timely completion.
- Notifies Coding Manager of any providers who fall outside the designated 73-hour turnaround time frame.
- Maintains the designated 3 business day time frame for coding completed records and provides weekly report summaries to Coding Manager.
- Maintain productivity standards as set forth by Phelps Health productivity matrix.
- Maintain annual certification through AAPC or AHIMA and completes required CEUs for certification maintenance.
Requirements:
- High school diploma or equivalent required.
- Minimum 1-year medical coding experience is preferred.
- Certification as a medical coder through AAPC (A’s are accepted). AHIMA certification is accepted as well.
Benefits:
- Equipment is provided by Phelps.
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