Coder
Posted 10hrs ago
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Job Description
Certified medical coder reviewing documentation and coding diagnoses, procedures, and modifiers for Solaris Health Holdings. Ensuring compliant, accurate claims and maximum reimbursement.
Responsibilities:
- Code all cases accurately and efficiently to the highest level to ensure maximum reimbursement
- Ensure quality and productivity standards are met
- Accurately code diagnoses, procedures, and modifiers according to established coding guidelines for government and third-party payers
- Review chart documentation for accuracy and completeness
- Identify inconsistencies in chart documentation and work with staff and the Coding Supervisor to resolve issues
- Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues
- Collaborate with providers to obtain complete documentation supporting coding
- Monitor compliance with policies, procedures, coding guidelines, and regulations
- Identify process improvement opportunities and recommend efficiency improvements
- Inform the Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes
- Participate in special projects, personal development training, and cross training
- Work with peers and functional areas of the Coding and Revenue Integrity department
- Maintain patient confidentiality and report suspected compliance concerns or violations
- Complete Annual Compliance Training
- Perform other position-related duties as assigned
Requirements:
- CPC, CCS-P, CMRS or AAPC certification required
- High School Diploma or equivalent required
- At least 3 years experience
- Entry level Medical Billing and Coding Terminology preferred
- Experience in Urology or physician practice environment preferred
- In-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology
- Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process
- Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications
- Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines
- Knowledge of governmental regulations and healthcare compliance requirements
- Strong analytical and problem-solving skills
- Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail
- Ability to develop reports and create professional presentations
- Ability to maintain confidentiality in handling sensitive information
- Ability to work independently and collaboratively across teams and departments
- Ability to recognize coding issues and prevent untimely claim submission and denials
- Ability to comply with HIPAA, Solaris Health Code of Conduct, and applicable laws and regulations
Benefits:
- Competitive pay
- PTO
- Holiday pay
- Comprehensive benefits package
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Pet insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
- Personal development training
- Cross training
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