Coder

Job Description:

• 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
• Ensure accurate coding of diagnoses, procedures, and modifiers
• Work collaboratively with providers to obtain complete documentation supporting coding
• Meet quality and productivity standards and monitor compliance with policies and procedures
• Identify process opportunity trends and recommend efficiency improvements
• Maintain current knowledge of coding guidelines and state and federal regulations
• Ensure adherence to third-party and governmental coding, documentation, compliance, and reimbursement regulations
• Escalate coding issues, trends, discrepancies, and payer changes to the Coding Supervisor
• Participate in special projects, personal development training, and cross training
• Collaborate 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 related duties as assigned

Requirements:

• CPC, CCS-P, CMRS or AAPC required
• High School Diploma or equivalent required
• At least 3 years experience required
• 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 manage multiple tasks and competing deadlines accurately
• Ability to develop reports and create professional presentations
• Ability to maintain confidentiality of 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
• 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