Coder I - PFS Billing Department - FT M-F at Gibson Area Hospital & Health Services
Pay Range
Base pay range: $25.00/hr - $32.00/hr
General Summary
The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the communities we serve.
Principle Duties and Responsibilities
Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPCS codes.
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Knowledge and understanding of how to properly code using medical coding books.
Follow up with the provider on any documentation that is insufficient or unclear.
Ensure that all codes are current and active.
Ensure appropriate, accurate/timely follow‑up is action taken on all denials and rejections received.
Adequately respond to coding questions and provide clarification to colleagues.
Develop and maintain appropriate communication with clinics.
Appropriately refer all non‑routine issues to management for clarification.
Re‑code and reprocess all denials and rejections ensuring all avenues are explored to resolve issues with insurance payers.
Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
Monitor CPTs and diagnoses to assure they are coded correctly prior to billing.
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
Seniority Level
Entry level
Employment Type
Full-time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
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