General Surgery Coder/Biller for 3-physican office

3-physician General Surgery office in rural northern Idaho seeking a certified coder/biller with experience in coding and billing operative reports from the hospital, surgery center and office.  Some coding/billing of hospital evaluation & management records will also be necessary.

JOB DESCRIPTION

• Review and abstracting of medical record documentation to enable accurate assignment of ICD-10 diagnoses and CPT codes and modifiers.  This will include operative reports and procedures performed in the hospital, surgery center and office locations.  Will also include hospital E&M encounters and consultations.
• Follow standard coding and billing guidelines.
• Adhere to all compliance regulations.
• Creation of claim forms with correct billing & coding information, and transmission of these claims via clearinghouse.
• Familiarize and adhere to payers' medical policies, guidelines, and billing requirements.
• Contact physician when conflicting, ambiguous, or missing information appears in the medical record.
• Maintain current knowledge base in all aspects of ICD-10 and CPT coding.
• Communicate changes in coding and documentation requirements to office manager and physicians.
• Review claim rejections and denials.  Correct as necessary and resubmit claims as soon as possible. Create and file appeals to payers in a timely manner.
• Collaborate with A/R manager to identify, correct, and resolve problem & unpaid insurance claims.
• Maintain continuing education and seek ongoing education to improve job performance.

QUALIFICATIONS

• high school diploma or GED
• current CPC and CGSC certification
• a minimum of 1 year experience in General Surgery coding and billing
• verbal and written communication skills
• experience with EMR and Practice Management systems
• experience with HealthFusion or NextGen electronic system preferred, but not mandatory
• ability to work remotely with current, up-to-date equipment
• ability to work independently and in a timely manner

JOB RESPONSIBILITES

As stated above, this is a remote position.  You will be responsible for all surgical and hospitalization coding and billing.  Hours per week vary and are dependent on physician case load.  There is an average of 50-60 claims per week with an average of 4-6 hours work. You will be required to work within the office's timely billing policy.  Also, additional time may be needed to correct and rebill the rejected and denied claims, and also to draft appeal letters when necessary.  You will work with A/R manager to identify and correct these problem & unpaid insurance claims.  Phone/zoom/facetime meetings with office manager and/or physician to discuss trends, status, and potential problems will be regularly scheduled.

Pay commensurate with experience.