Orlando Family Physicians, LLC
Responsible for providing coding services on all diagnosis and maintains a professional relationship with the Managers and Providers.
Responsibilities:
- Audits records to ensure proper submission of services prior to billing on pre-determined charges
- Receives proper progress notes to properly bill provider services for services provided to patients
- Supplies correct ICD-10 CM diagnosis codes on all diagnosis provided
- Supplies correct HCPCS code on all procedures and services performed
- Supplies correct CPT code on all procedures and services performed
- Coding claims 100-150 a day
- Contacts providers to train and update them with correct coding information
- Remain current on coding issues
- Accurately follows coding guidelines and legal requirements to ensure compliance with federal and State regulatory bodies
- Determines the final diagnosis and procedures stated by the physician are valid and complete
- Qualitative analysis- evaluates the record for documentation consistency and adequacy. Ensures that the diagnosis reported accurately reflects the care and treatment rendered
- Analyzes provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code
- Performs other related duties, which may be inclusive, but not listed in the job description
Skills and Specifications:
- Certified Professional Coding Certificate (preferable)
- At least two years of Billing and Coding experience in Primary Care or Internal Medicine
- Electronic Medical Records (E-Clinical Works preferred)
- Thorough knowledge of CPT & ICD-10 coding, medical compliance, HIPPA, claim formatting issues that cause payment errors, and medical insurance follow up
- Computer proficiency, specifically Excel and Windows
- Strong organization and communication skills in order to interact effectively with others in the medical field
- Self-motivated to deliver results
- Work independently
- Work collaborative on projects
- Create channel of communication to obtain information necessary to perform job tasks, such as with payers, clinical staff, and billing department staff
- Ability to recognize individual and system problems and to communicate such information to Management/ Supervisor
- Excellent written and verbal communication skills
- Attention to detail and time management skills