Medical coder Jobs in Hollywood, FL

Job Description

Job Description

Description : GENERAL SUMMARY

The Coder is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. The Coder will ensure quality and productivity standards are met. The Coder will ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. They work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials.

Requirements :

ESSENTIAL JOB FUNCTION / COMPETENCIES

Responsibilities include but are not limited to :

• Reviews chart documentation for accuracy and completeness, identify inconsistencies in chart documentation, and work with appropriate staff and Coding Supervisor to resolve issues.
• Communicates with Claims Resolution Specialists and Business Office staff when necessary to resolve errors and clarify issues.
• Demonstrates and use in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology.
• Works collaboratively with providers to obtain complete documentation to support coding.
• Stays accountable to quality and productivity standards, and monitor compliance with policies and procedures.
• Identifies process opportunity trends and recommend ways to improve efficiencies.
• Responsible for maintaining current knowledge of coding guidelines and relevant state and federal regulations.
• Ensures adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement.
• Participates in special projects, personal development training, and cross training as instructed.
• Informs Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution.
• Works in conjunction with peers and functional areas of the Coding and Revenue Integrity department for the betterment of completing tasks and the company overall.
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and / or violations to a supervisor and / or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

KNOWLEDGE | SKILLS | ABILITIES

EDUCATION REQUIREMENTS

EXPERIENCE REQUIREMENTS

REQUIRED TRAVEL

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing / Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional : from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom : up to 2%