Medical Coder

Company Overview:

Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR – based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement.

Description:

The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record with a focus on Evaluation and Management services. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function. The Medical Coder also demonstrates understanding and knowledge to resolve Optum coding edits.

Responsibilities:

Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician professional services and diagnosis codes.

Follows Official Guidelines and rules in order to assign appropriate CPT, ICD10 codes and modifiers.

Provides documentation feedback to physicians.

Maintains coding reference information.

Trains physicians and other staff regarding documentation, billing and coding for their specialty.

Reviews and communicates new or revised coding guidelines and information with providers and their assigned specialty.

Attends meetings and educational roundtables, communicates pertinent information to physicians and staff.

Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues.

Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. Adds MBO tracking codes as needed.

May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.

May work with Billing staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information

Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.

Qualifications

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS) is preferred

Experience in Pain Specialty is Preferred

1 year experience in a relevant role

High School Diploma or Equivalent