Wolcott, Wood and Taylor, Inc. · 23 hours ago
Pro Fee GI Coder
United States
Full-time
Remote
Entry, Mid Level
2+ years expWolcott Wood and Taylor is looking for an Ambulatory Coding and Reimbursement Specialist responsible for reviewing, analyzing, and coding ambulatory and hospital encounters. The role includes ensuring compliance with coding procedures and regulatory guidelines while providing feedback on coding changes and trends.
Health CareInsuranceProfessional Services
Responsibilities
Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines
Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services
Performs a comprehensive review of the record to assure all vital information such as patient identification, signatures, and dates are present in the record
Evaluates the records for documentation consistency and adequacy. Ensured that he inlay diagnosis accurately reflects the care and treatment rendered
Monitors and follows up to ensure all services billed are captured and coded
Follows and adheres to all WWT policies such as Coding Audit Policy and Physician Coding Query In-Basket Policy
Provide real time feedback to providers on all coding changes and trends via EPIC in basket message
Actively participates and engages coding team meetings regularly and if needed
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines
Works in coordination with other members of the physician’s office/departments as necessary
Collaborates with Coding Management for special coding and billing projects if assigned
Apply coding knowledge and skills to resolve coding denials from payers and works with management and various departments
Resolving coding denials assigned by applying coding knowledge and skills
Maintains active coding credentials and CEU’s required for coding roles
Performs other related duties as required and assigned
Qualification
Required
MUST LIVE IN ILLINOIS OR A STATE SURROUNDING ILLINOIS TO APPLY
GI Coding Experience is highly preferred
Responsible for reviewing, analyzing, and coding ambulatory and/or hospital encounters, diagnostic and procedural information used in the billing of charges for physician's services
Ensures compliance with established coding procedures, regulatory guidelines and reimbursement policies
Reviews medical record documentation for E/M encounters from multiple specialty departments for proper assignment of ICD-10, CPT, HCPCS and modifiers
Performs initial charge review to determine appropriate CPT and ICD-10 codes to be used in reporting physician services to third party payers
Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines
Interprets outpatient office visit notes and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 coding to these services
Performs a comprehensive review of the record to assure all vital information such as patient identification, signatures, and dates are present in the record
Evaluates the records for documentation consistency and adequacy
Monitors and follows up to ensure all services billed are captured and coded
Follows and adheres to all WWT policies such as Coding Audit Policy and Physician Coding Query In-Basket Policy
Provide real time feedback to providers on all coding changes and trends via EPIC in basket message
Actively participates and engages coding team meetings regularly and if needed
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines
Works in coordination with other members of the physician's office/departments as necessary
Collaborates with Coding Management for special coding and billing projects if assigned
Apply coding knowledge and skills to resolve coding denials from payers and works with management and various departments
Resolving coding denials assigned by applying coding knowledge and skills
Maintains active coding credentials and CEU's required for coding roles
Knowledge and understanding of medical coding and billing systems and regulatory requirements
Communication - communicates clearly and concisely, verbally and in writing
Persistence – comfortable pursuing, rebutting and escalating issues as appropriate
Goal-oriented – holds him/herself accountable to achieving shared professional and personal goals
Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Interpersonal skills – establishing and maintaining effective working relationships with employees, and external parties
PC skills - demonstrates high proficiency in Microsoft Office applications, especially Microsoft Excel, and others as required
Writing skills –advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately
Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years' experience with CPT/ICD-10 coding of multispecialty services preferred
Responsible for maintaining continuing education per certification requirements
Clear understanding of protocols and procedures in a medical office including health information management, confidentiality, and safety
Organize and prioritize responsibilities while remaining flexible to changing demands
Excellent written and oral communication skills, with the ability to interact with patients, families, staff and others
Strong analytical skills and attention to detail
Ability to establish priorities and work independently
Must have high level of discretion and judgment
Preferred
GI Coding Experience is highly preferred
Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years' experience with CPT/ICD-10 coding of multispecialty services preferred
Company
Wolcott, Wood and Taylor, Inc.
Wolcott, Wood and Taylor, Inc.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Steven Figge
Chief Operations Officer
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