Cone Health

The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role is an entry level professional physician coding role. Essential Job Function * Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. * Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). * Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (ie, Insurance Denials). * Notifies Team Lead, Manager, and/or...

The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role assists with educating physicians, management, support staff and administration. This role also identifies possible revenue opportunities. Essential Job Function Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). Assists with the Central Business Office to ensure appropriate and complete...

The Medical Group Compliance Auditor Senior is responsible for providing audit, coding support and guidance to physicians, APPs, residents and support staff. This role ensures that all coding, billing and documentation complies with federal and/or state regulations, private payer health care program requirements as well as the Compliance and Operations Policies of the organization. This job assists with the development and implementation of educational and training programs as well as coding tools and resources to help achieve organization?s goal of consistent, complete and accurate coding and documentation. Essential Job Function Capable of working independently to conduct regularly scheduled compliance reviews for assigned providers, practices, and focused review areas within designated time frames. Provides mentorship and guidance to the more junior Medical Group Compliance Auditor during the audit completion process. Performs Reviews clinical documentation to...

The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals. Essential Job Function Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals. Maintains accuracy in accordance with department and regulatory standards. Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance. Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission. Completes all mandated education prior to deadline. Collaborates with other team members to assist in the...

The Coder Credentialed The coder credentialed accurately codes and abstracts medical information for billing and statistical purposes, and enters the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals.