Hybrid HAMILTON PHYSICIAN GROUP - DALTON, GA 30722
Hours: 8AM - 5PM, Weekdays
Job Summary
Works under direct supervision of the Coding and Documentation Manager and follows written policies and procedures to perform the job duties. The coding lead will remain an active coder for the department when needed. The associate will complete required daily activity reporting as needed. The individual will maintain positive business relationships internally and externally to ensure effective and efficient coordination of services to promote individual and departmental goals. The associate ensures the accuracy and timeliness of all encounters coded, and provides support to team members on a regular basis. The individual resolves and advises medical coders on answers to routine questions and problems and refers more complex issues to higher levels. The associate assists the Coding and Documentation Manager in routine management tasks such as productivity reporting and budget management. The individual assists in the interview process and hiring decisions and may be called upon to provide input to management on annual performance appraisals. The associate performs additional duties as assigned in a courteous and professional manner. The associate assists with research of payer policies, updates on coding and documentation guidelines, and updates regarding legal, regulatory, and policy compliance matters. The individual may assist with internal audits of coding staff and external audit/education of providers and other qualified healthcare professionals.
The coding lead must be able to lead, train, and supervise staff.
Job Qualifications
Education: Two years of college level courses, preferably in secretarial science or office administration, associates degree preferred
Licensure: None
Certification: Base Coding Certification required (CPC, CPC-H, CCA, CCS, CCS-P). Additional credentials preferred.
Experience: 3 or more years' experience in professional billing and coding experience required.
Skills: The associate must possess knowledge of medical record content, medical terminology, anatomy & physiology, ICDCM/PCS & CPT coding systems. The individual must have the ability to examine the chart and verify documentation needed for accurate code assignment and be able to clearly communicate medical coding information to providers, other qualified healthcare professionals, and clinical staff when appropriate. The associate must possess knowledge of coding concepts and principles, understanding of medical coding and billing systems, and knowledge of legal, regulatory, and policy compliance matters related to medical coding, documentation and billing. The individual has the ability to apply good judgment, has excellent decision-making skills, and must be able to work in team environment but also work autonomously due to the nature of the position. The associate must be detail oriented and consistently produce quality work. The individual must possess good verbal, written and computer communication skills and be able to perform functions in Microsoft Office. The associate must practice excellent self-discipline and time management skills due to its remote nature. The individual must remain calm under stress and must be able to appropriately respond to a disgruntled person during such occasions when necessary (i.e., internal and external customers and stakeholders). The associate routinely resolves coding edits and coding related denials by working from work queues for the respective specialty/responsibility assigned. This requires payer policy and coding guideline knowledge and research, as well as effective communication with billing staff on resolution steps. The associate is responsible for making coding related charge corrections/resubmission of claims where applicable. The associate must be proficient in typing, transcription, and use of word processing software. The individual must possess initiative and must have excellent organizational ability, communication, and interpersonal skills.
Physical, Mental, Environmental and Working Conditions
Typical office environment subject to constant interruptions and heavy work volume requirements. Moderate amounts of physical activity, including stooping, loading, lifting. Ability to handle high stress level and work under pressure. Must be able to maintain confidentiality.