Job description
Certified Coder
POSITION SUMMARY:
Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and researches new coding guidelines and codes. Assists the staff of the VHS corporate compliance.
EDUCATION:
CPC (AAPC) required. Degree in Heath Services Management, Business or other related field preferred. Extensive knowledge of ICD-9-CM/ICD-10 CM and CPT coding principles and guidelines required. Extensive knowledge of reimbursement systems required. Extensive knowledge of federal, state, and payor specific regulations and policies pertaining to documentation, coding, and billing required. Strong leadership, communication and interpersonal skills required. Excellent written, organizational, analytical, and critical thinking skills required. Computer literacy required.
EXPERIENCE:
Eight to ten years ' experience (college degree can be substituted for years of experience) and expertise in ICD-9 CM/ICD-10 CM Coding.
SPECIAL SKILLS:
Medical Terminology, ICD-9 CM/ICD-10 CM and CPT-4 Coding, Ability to relate to people and work closely with physicians and other VMG staff. Computer skills and knowledge of practice management software.
Area of Talent: Professional Administration
Organization: Valley Physician Services
Department: VP BILLING
Shift: Day
Full Time
Schedule: 8-430
req11886
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