Dakota, Illinois
Certified Coding Auditor Job Opening in Dakota, Illinois - Certified Coder / Coding Auditor
Reports To: Director of Billing Services
FLSA Status: Non-Exempt
Location: Any Horizon Facility
POSITION SUMMARY
This position is responsible for providing coding and compliance support to Physicians, Mid-Level Providers, medical support staff, billing department staff and administration.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
-Review, code and/or audit medical diagnosis and E&M coding for all Horizon medical healthcare providers.
-Report on the accuracy of procedural coding, E&M Coding and ICD-9/ICD-10 coding and billing to ensure compliance with legal and procedural policies.
-Identify inaccurate coding processes; prepare reports of findings and meet with providers and medical office staff to provide education and training on accurate coding practices and compliance issues.
-Assist with development of policies, procedures and workflow documents related to medical record documentation and coding.
-Assists in training personnel in correct documentation processes and coding guidelines.
-Assist the Billing & Collection Department with posting payments, posting charge batches, working with insurance companies on claim reimbursement issues, working with patient accounts, processing sliding fee applications etc. and other duties as assigned.
SUPERVISORY RESPONSIBILITIES
None
QUALIFICATIONS
High school diploma or the equivalent and Certification with the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) is required. Preference will be given to individuals with extensive knowledge of ICD-9, ICD-10, CPT-4, HCPCS Level II, medical terminology and electronic medical record systems.
TRAVEL
Occasional travel may be required to work with staff at all Horizon Health Care clinic locations as well as any travel required for continued education purposes.
SKILLS
Good interpersonal and communication skills and the ability to work in fast paced office environment.
COMPUTER SKILLS
Knowledge of Microsoft Office Suite, Electronic Medical Records Software programs and knowledge of PC?s, laptops, printers, scanners, required. Page 2 of 2
EMPLOYEE EXPECTATIONS All staff members are expected to conduct themselves in a manner consistent with the mission, vision and values under which this community health center operates. They must be an active, positive participant of the team while maintaining confidentiality regarding patients, co-workers and funding sources. They must also treat all persons with respect, courtesy and dignity and be on time and regular in attendance, and show up for work with a positive attitude. Patterns of absences or tardiness are not acceptable. It is required to refrain from spreading rumors, gossiping or other non-productive forms of conversation, at work or away from the workplace. Must maintain HIPAA compliance at all times and be willing to participate in Horizon?s mandatory training programs. Be professional and discrete in manner at all times. Maintain good public relations between the community and Horizon.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; sit; and use hands/fingers to handle or feel. The employee is occasionally required to reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
WORK ENVIRONMENT Employee generally works within the interior of a healthcare clinic or office environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employee may travel locally between multiple worksites and be responsible for own transportation. Out of area travel may be required on occasion. Hours of operation and specific staff scheduling may vary between worksite based on operation need. The noise level in the work environment is usually moderate.
Job Type: Full-time
Salary: $40,000.00 /year
Required education:
Associate
Required experience:
extensive knowledge of ICD-9, ICD-10, CPT-4, HCPCS Level II, medical terminology and electronic medical record systems.: 2 years
Required license or certification:
Certification with the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) is required.
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