Med Group PB Coder II

Med Group PB Coder II

Requirements

• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
• Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line
• Demonstrated proficiency utilizing Microsoft office tools.
• Demonstrated comprehensive knowledge of physician billing, healthcare revenue cycle.

Responsibilities

• Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.
• Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.
• Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes.
• Appropriately escalates coding/denial trends and provider education opportunities.
• Navigates Epic EMR, including applicable reports and work queues
• Communicates with providers via Epic in-basket message and email per departmental guidelines.
• Adheres to departmental protocols.
• Utilizes organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.).
• Meets or exceeds productivity standards.
• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials.

Preferred Qualifications

• High school diploma or equivalent
• Related specialty credential through AAPC or AHIMA
• Two (2) years of professional fee coding experience in the related specialty
• Prior Epic experience