Ohio State University Physicians logo
Ohio State University Physicians

Advancing access to quality care and improving patient experiences as part of The Ohio State Wexner Medical Center.

Certified Coder

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteSeniorTeam 1,001-5,000Since 2002H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

63 days ago

Salary

$23 - $35 / hour

Seniority

Senior

High School3 yrs expEnglish

Job Description

Certified Coder

Ohio State University Physicians

• Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers • Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements • Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis • Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues • Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials • Researches inquiries from providers and patients about fees, reimbursements, and denials • Monitors data sources to ensure receipt and analysis of all charges • Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients • Other duties or special projects as assigned.

Job Requirements

  • High School diploma or GED
  • Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years’ experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience
  • Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers
  • Knowledge of third party fee profiles and reimbursement requirements
  • Knowledge of current and developing issues and trends in medical coding procedures and requirements
  • Analytical ability to gather and interpret data and develop, recommends, and implement solutions
  • Ability to interact and communicate with individuals at all levels of the organization

Benefits

  • medical, dental, vision
  • health reimbursement accounts
  • flexible spending accounts
  • retirement
  • employee assistance program
  • paid time off
  • holidays
  • wellness program

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