Certified Coder (Ophthalmology)

Job Description

Job Description

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned.

ESSENTIAL FUNCTIONS

• Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines.
• Ensures that teaching physician documentation and billing requirements are met and are clearly reflected.
• Review provider coding and provide training and feedback on coding questions and issues.
• Assists billing and collections staff with denials and charge correction requests as needed.
• Resolves coding TES edits.
• Continually refreshes and applies knowledge of government regulations as they relate to coding and billing.

Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties as assigned. Specific duties and responsibilities may vary based upon departmental needs.

EDUCATION and/or EXPERIENCE
* High school diploma or general education degree (GED) preferred
* Certified Professional Coder certification required
* Level and years of experience based on departmental needs
* Extensive knowledge of CPT and ICD-10 coding
* Knowledge of government regulations as they relate to teaching physician
documentation and billing guidelines
* Understanding of the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements.

Total Rewards
The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: -employee-benefits