Gibson Area Hospital & Health Services ยท 1 month ago
Coder I - PFS Billing Department - FT M-F
Gibson Area Hospital & Health Services is dedicated to providing personalized healthcare services. The PFS Medical Coder is responsible for transforming healthcare services into universal medical codes and ensuring accurate coding for billing purposes.
Health CareHospital
Responsibilities
Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
Knowledge and understanding of how to properly code using medical coding books
Follow up with the provider on any documentation that is insufficient or unclear
Ensure that all codes are current and active
Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received
Adequately responds to coding questions and provide clarification to colleagues
Develops and maintains appropriate communication with clinics
Appropriately refers all non-routine issues to management for clarification
Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers
Ability to work with fellow staff in a professional, courteous and respectful manner at all times
Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle
Qualification
Required
Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
Knowledge and understanding of how to properly code using medical coding books
Follow up with the provider on any documentation that is insufficient or unclear
Ensure that all codes are current and active
Ensures appropriate, accurate/timely follow-up is action taken on all denials and rejections received
Adequately responds to coding questions and provide clarification to colleagues
Develops and maintains appropriate communication with clinics
Appropriately refers all non-routine issues to management for clarification
Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers
Ability to work with fellow staff in a professional, courteous and respectful manner at all times
Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle