ED Coder

Summary

This role involves reviewing and analyzing physicians' documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.

Job Duties & Essential Functions

• Perform complex and technical assignments related to medical coding.
• Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement.
• Resolve discrepancies related to coding issues.
• Review and correct rejected claims from various third-party carriers.
• Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding.
• Maintain account records and track IDX record requests.
• Maintain PK files for validity errors.
• Monitor TES Open Encounter file.
• Manage CLIA renewals for all sites.
• Perform additional duties as assigned by management.

Required Qualifications

• Certified Professional Coder (CPC) Certification.
• Associate's Degree, or 5 years of experience in lieu of a degree.
• Working knowledge of coding requirements.
• Excellent expressive and written communication skills.
• Highly organized.
• Proficient in Microsoft Office Word and Excel.