Aultman Health Foundation ยท 1 month ago
SENIOR CODER/BILLER
Canton, OH
Full-time
Onsite
Mid, Senior Level
1+ years expAultman Health Foundation is seeking a Senior Billing Specialist to enhance their medical coding and billing processes. The role involves reviewing and assigning ICD-10 and CPT codes for professional billing while ensuring compliance with revenue integrity functions and communicating effectively with practice leaders and providers.
Health Care
Responsibilities
Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Proficiently analyze ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Audit medical record for missing documentation, incomplete tasks, unordered codes to prevent loss of revenue
Apply all NCD, LCD, MUE and CCI guidelines when coding or analyzing
Code to the highest specificity and educate provider when unspecified code is used but documentation supports a more specific code
Verify providers are capturing quality indicators and educate if missing
Maintain suitable knowledge of coding, compliance, governing bodies, and reimbursement policies according to the coding related to the specialty assigned to code
Responsible for open encounters and zero charge communication and tracking
Effective verbal and written communication with office staff, providers and AMG leadership
Meet/Exceed established productivity expectations
Meet/Exceed established quality expectations
Perform additional administrative tasks as assigned
Maintain attendance according to departmental standards
Meet/Exceed internal CEU hourly requirements
Complete safety evaluation, JCAHO education, Confidentiality, Information system usage, HIPAA corporate compliance education on an annual basis
Exhibit excepted level of team work and respect
Qualification
Required
Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Proficiently analyze ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and hospital-based providers
Audit medical record for missing documentation, incomplete tasks, unordered codes to prevent loss of revenue
Apply all NCD, LCD, MUE and CCI guidelines when coding or analyzing
Code to the highest specificity and educate provider when unspecified code is used but documentation supports a more specific code
Verify providers are capturing quality indicators and educate if missing
Maintain suitable knowledge of coding, compliance, governing bodies, and reimbursement policies according to the coding related to the specialty assigned to code
Responsible for open encounters and zero charge communication and tracking
Effective verbal and written communication with office staff, providers and AMG leadership
Meet/Exceed established productivity expectations
Meet/Exceed established quality expectations
Perform additional administrative tasks as assigned
Maintain attendance according to departmental standards
Meet/Exceed internal CEU hourly requirements
Complete safety evaluation, JCAHO education, Confidentiality, Information system usage, HIPAA corporate compliance education on an annual basis
Exhibit excepted level of team work and respect
1-year minimum coding experience in a Physician office or Outpatient hospital setting mandatory
Preferred
Abstraction of codes preferred
RHIA, RHIT, CCA, CCS or CPC required preferred but not required
Additional certifications helpful
Knowledge of accounts receivable goals and impacts
Ability to establish and organize daily work flow
Solid computer skills (Microsoft office, encoder and other hospital software applications)
Ability to manage multiple demands from a variety of constituents
Company
Aultman Health Foundation
Serving Stark and surrounding counties since 1892, Aultman Health System is committed to our patients, employees, the community and medical education.
5001-10000 employees
H1B Sponsorship
Aultman Health Foundation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (2)
2022 (3)
2021 (4)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Adam Luntz
CFO/VP of Finance
Lisa Geiger-work
Chief Financial Officer
Recent News
Business Journals
2023-02-02
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