Employment Type: Full time
Shift: Day Shift
Description: Highlights: - Full-time role in a fast-paced professional central billing environment.
- Remote position
The Professional Office coder will review all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10
, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders innew specialties
Minimum qualifications: - CPC, CPC-A , CCS, or CCS-P Certified
- One to three years of experience in a medical office coding setting
What the professional office coder will do: - Reviews encounter forms or EHR for completion and accuracy, including ICD-10, ICD9CM, CPT and HCPCS modifier assignment.
- Understands Nextgen EHR for charge passing position, reviews chart for missing items. Uses tasking for missing information.
- Researches all information needed to complete billing process.
- Reads and understands operative reports and other medical records, assigns codes from review of these records procedures from notes.
- Performs accurate data entry from encounter form.
- Performs claim correction process and properly submits per payer request.
- Follows daily, weekly & monthly audit reports - charge review, edits, missing charges.
- Resolves coding discrepancies related to coding and revenue capture.
Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
