ZOLL

CPC - Certified Professional Coder

Job Locations US-Virtual / Remote
ID
2021-2005
Category
Customer Service/Support
Category 2
Ops

Overview

A medical coder analyzes medical records and assigns codes to classify diagnoses and procedures to support the reimbursement system, to support assessment of clinical care, and to support medical research activity.

 

Good working knowledge of HIPAA, HCPCS, CPT, ICD-10 codes. .  Must have excellent verbal and written communication skills.  Must have working knowledge of patient accounting functions, tools and processes applicable to medical claims.  Must be proficient in Microsoft Windows, Excel and Word, Adobe Acrobat.  Ability to quickly learn multiple operating systems; e.g., GH, and other patient accounting systems.  Ability to communicate with all levels. Superior attention to detail.

Responsibilities

  1. Must have a current Certificate from American Academy of Professional Coders or equal
  2. Must have a thorough understanding of the content of the medical records
  3. Must have clinical knowledge including extensive training in anatomy, physiology, pharmacology, and clinical disease process
  4. Responsible to transform medical diagnoses, procedures, and injuries into designated numerical codes
  5. ICD9 Coding
  6. Data Entry
  7. Document Control
  8. Claim Submission
  9. May perform insurance billing and collections
  10. Display competence in communication both (verbal and written) and interpersonal relations
  11. Demonstrate and maintain consistent customer focus
  12. Focused on continuous improvement, learning, accountability, teamwork, motivating and development others problem and analysis resolution
  13. Recognize the entire scope of an issue and participate objectively towards resolution with other team members.
  14. No budget or supervisory responsibility.
  15. Other responsibilities as assigned

Qualifications

DIMENSIONS:

  • Ability to work independently and demonstrate consistent customer focus
  • Ability to analyze and make good billing/collections decisions keeping in mind the goals and objectives of RCM Department and Golden Hour Data Systems, Inc.
  • Recognize the entire scope of an issue and participate objectively towards resolution with other team members
  • Maintains professional personal appearance.
  • Ability to verbally communicate details and understand parameters of job responsibilities to perform in a University setting.
  • Initiative required to learn company organization and procedures.
  • Is a team player and interfaces well with employees.
  • Display competency, business professionalism, patient advocacy in all communications both (verbal and written) and interpersonal relations
  • Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless if the communication is inside the Company or with customers, clients, or providers.
  • Must maintain the highest professional and ethical standards in conducting day-to-day business on behalf of Golden Hour Data Systems. Adheres to all Company HIPAA compliance regulations, business and professional ethics, and confidentiality and privacy regulations as outlined in the Corporate Code of Conduct, the Employee Handbook, and the RCM Department policies and procedures.
  • Requires an in depth understand of compliance, regulatory oversight bodies and payer requirements.
  • Represents the company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients.
  • All expenditures for office supplies, computer supplies, stationery supplies, or any special requests must be approved by the Director/Manager of PFS, before any purchases can be made.
  • No supervisory or budget responsibilities.

 

 

 

BACKGROUND AND EXPERIENCE:

 

Requires HS Diploma (GED) equivalent.  Certified Professional Coder (CPC) certificate required from a recognized, accredited advanced learning institution.  2 to 5 years of previous experience in Billing and general office procedures, preferred. A coder must adhere to ethical principles relating to quality, truth, and accuracy in work performance and productivity.

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