Medical Records Clerk/Coder
We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts.
Duties include but are not limited to:
- Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
- Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission.
- Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims
- Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10.
- Answer coding questions
- Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes
- Assemble and analyze medical charts to meet department accuracy and productivity requirements.
- Follows established protocol for assembling charts.
- Revise and/or update forms and policies, and ensure permanent location and security of data (PHI).
- Manages daily workload and consistently finishes daily.
- Ensures that Outpatient charts are received daily.
- Runs missing chart report and notifies appropriate personnel.
- Follows through and investigates missing charts.
- Clarify documentation with the Physician and Director as needed.
- Completes reports and logs as needed.
- Periodically covers the duties of receptionist.
- Provides backup clerical support to various departments.
- Researches, prioritizes, and follows up on incoming issues and concerns, including those of a sensitive or confidential nature.
- Determines appropriate course of action, referral, or response.
- Handle requests for information and data: reports as requested.
- Respond to and resolve problems and inquiries.
- General clerical duties including photocopying, fax, mailing, filing (electronic and paper), sorting and distributing correspondence, preparing and modifying documents including correspondence, reports, drafts, memos, and emails
- Performs related duties, as requested.
- Upholds the Organization's ethics and customer service standards.