Non-Clinical - Health and Information Management - Patient Records Abstractor III

Medical Coding SpecialistUnder the general supervision of the Billing Manager, the incumbent independently performs highly complex and detailed coding for all inpatient and outpatient services, procedures and surgeries billed by the Physician Billing Group. Provides assistance to other staff including physicians with coding issues that extend from dictated reports, which include H&P, written ER reports, chart notes, procedures, clinic notes and encounter forms, error billing reports and various other sources. Coding is to be done to maximize reimbursement, and in compliance with University, Medicare, HCFA, Commercial insurance and all other related entities' strict guidelines and policies.Employee Supervised Skills, Knowledge and Abilities Required:Extensive working knowledge of ICD-10, CPT and modifier coding systems and tools.Ability to effectively and accurately extract, create, verify and or support appropriate CPT codes from dictations, reports or encounter forms leading to an timely collections of billing in a compliant method.Skill, Knowledge and ability to exercise a sound professional coding judgment consistent with government and private payer requirements to ensure all codes/ modifiers are appropriate and assure maximum reimbursement.Demonstrated high level of reading and comprehension skillsAbility to sit and code for a prolonged period of time during the dayExtensive knowledge of medical terminologyExtensive knowledge of anatomy and physiologyEffective use with medical record information to ascertain appropriate billing codesKnowledge of 3rd party payers and government regulations and compliance programs to assist collectors with coding questions/issuesDemonstrated ability to work efficiently with minimal supervision, combined with initiative to system improvementDemonstrated possession of good organizational skills, while maintaining flexibility to respond to changing prioritiesDemonstrated skill/experience working with computerized reports to abstract informationAbility to interact in a professional and diplomatic manner with conflicting perspectivesWell-developed verbal and written communication skills to effectively develop communications to various stakeholdersSkills to organize and prioritize workload coordinate multiple assignments simultaneously to meet and complete conflicting deadlinesAbility to maintain work standards and productivity standards set by the departmentEffective interpersonal and professional communication skills to interact with staff, vendor and client in a diplomatic mannerDemonstrated ability to work independently with only general supervisionAbility to analyze coding/denial and or system data to effectively implement problem solving skillsAbility to prioritize and work proficiently with multi-tasks as assigned by managementDemonstrated skill/experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriersBasic accounting knowledge to understand credits debits and the ability to accurately audit patient ledgersAccurate typing and proofreading skillsFiling and record keeping skillsAbility to read and understand difficult to read writing in medical records to decipher appropriate CPT/ICD-9/Modifier codesUser level experience with PC and MS Office applications, e.g.) Word, Excel, OutlookPosses Certified Professional Coder (CPC) certificateDesired: Knowledge of EPIC Billing Systems, Encoder experience is highly preferred