• Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. • Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. • Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. • Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. • Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form using procedure codes as required. • Using the Encoder software program, determines the codes for all diagnoses and procedures. • Queries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding. • Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines.

• Serve as a resource for providers in understanding covered indications and supporting documentation. • Review medical documentation from physicians and other healthcare providers. • Assign modifiers, diagnostic and procedure codes for treatments based on official classification systems. • Participate in coding team meetings and serve as a subject matter expert. • Convey coding guidelines to improve medical record documentation accuracy.

Role Description We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending time on the phone. - Enter all billing and payment information into the system properly and without errors - Follow up with clients and insurance companies - Post payments - Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare - Note and process all necessary forms from the insurance - Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures - Work with doctor's offices and hospitals to obtain charge information and billing details Qualifications - 3 years minimum doing full cycle medical billing - required - Excellent attention to details - 1-3 years of Compulink or Practice + billing software experience - Strong communication skills - Strong customer service skills Benefits - 401(k) - Competitive salary - Dental insurance - Health insurance - Opportunity for advancement - Paid time off - Vision insurance - Competitive Compensation - Great Work Environment - Career Advancement Opportunities Company Description

• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records. • Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines. • Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance. • Demonstrates and maintains adequate productivity and quality metrics as outlined in job description. • Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.