Overview
Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position.
Responsibilities
May include any and/or all of the following:
Accurately enter patient information into LifeLinc’s billing software.
Verify patient insurance is valid and active.
Organize files and collect data to be entered.
Analyze and verify data for errors.
Report problems with data received or missing data.
Follow-up on data that has not been received.
Keep sensitive patient and company information confidential.
Appropriately compose and type routine correspondence, memos, letters, etc.
Performs other duties as assigned.
Qualifications
EDUCATION and/or EXPERIENCE
High school diploma or general education degree (GED) is required
Minimum of 1-year related experience, training, and/or equivalent combination of education and experience is required
Excellent computer skills are required
Excellent filing skills are required
35 wpm typing proficiency and 10-key by touch is required
Familiarity with CPT-4 and ICD-10 coding is preferred
Experience verifying insurance
KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS
Verbal and written communication skills
Ability to respond to questions in a tactful and professional manner
Ability to manage time wisely and maintain organization
Ability to interpret accounts and records
Ability to document workflow
Understand anesthesia coding
Interpersonal/human relations skills
Customer service skills
Ability to maintain confidentiality and accuracy
COMMUNICATION
Provide information to supervisors, co‑workers, and subordinates by telephone, in written form, e‑mail, or in person
Works with coworkers to obtain required information on a timely basis and to solve outstanding issues, as appropriate
Promotes and contributes positively to the teamwork of the department by assisting coworkers, contributing ideas and problem‑solving with co‑workers
Communicate with people outside the organization, representing LifeLinc, the public, government, and other external stakeholders
Attend meetings as needed
LANGUAGE SKILLS
Must be able to read and write English
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence for the needs of the audience
Ability to effectively present information in one‑on‑one and small group situations to supervisors, patients, patient's family and other employees of the organization
Able to work in a team‑oriented environment
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute rate, ratio, and percent
REASONING ABILITY
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
Ability to recognize when something is wrong or is likely to go wrong and react accordingly to the situation
COMPUTER SKILLS
To perform this job successfully, an individual should have excellent computer literacy skills
Must be skilled in MS Word and Excel
Proficient 10-key by touch
Typing proficiency of 40 wpm
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
HIPAA
Ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and hospital policy and procedure regarding confidentiality.
Complies with all information security practices.
Has knowledge of and adheres to all compliance regulations, policies and procedures.
Takes annual HIPAA compliance exam.
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