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Ambulatory Surgical Center Coder (Certified)

Ambulatory Surgical Center Coder (Certified)

Austin Regional ClinicAustin, TX , US
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ABOUT AUSTIN REGIONAL CLINIC :

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members : Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit

PURPOSE

Responsible for abstracting and coding Ambulatory Surgery services for a range of surgical procedures using ICD-10-CM, CPT-4, HCPCS and other applicable classification coding systems. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.

ESSENTIAL FUNCTIONS

  • Abstracts and ensures accuracy of diagnoses, procedures, patient demographics and other required data for charge entry.
  • Thoroughly reviews patient medical records, surgical reports and physician notes to ensure all procedures are documented correctly.
  • Understands and follows implant charging and coding.
  • Performs charge entry functions.
  • Using reports, audits fee tickets in charge review work queue for completeness and accuracy.
  • Informs the ASC facility manager of conflicting or ambiguous information in the medical record prior to submitting charges.
  • Assists facility and physicians with coding questions or concerns.
  • Facilitates conversation and works as a liaison between CBO, Compliance, and ASC to resolve billing concerns such as claim denials and patient billing.
  • Assists in writing appeals for denials.
  • Serves as a resource for other ASC office staff.
  • Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
  • Participates in development and maintenance of all charge entry work queue edits.
  • Researches and resolves problems with patient account related inquiries in work queues.
  • Follows workflows consistent with the policies of the Compliance Plan.
  • Supports compliance policies with government and private payer regulations.
  • Adheres to all company policies, including but not limited to OSHA, HIPAA, compliance, and Code of Conduct.
  • Follows the core competencies set forth by the Company, which are available for review on ARC SharePoint.

OTHER DUTIES AND RESPONSIBILITIES

  • Obtains insurance eligibility and benefit details.
  • May review records for completeness, accuracy and compliance with regulations.
  • Works with the providers to communicate coding issues and submit adjustment journals as needed.
  • Performs other duties as assigned.

    • QUALIFICATIONS

    Education and Experience

    Required : High school diploma or GED. Two (2) or more years of experience in Ambulatory Surgery coding, auditing and clinical information systems.

    Preferred : Associate’s or bachelor’s degree preferred.

    Certificate / License

  • Must maintain Certified Professional Coder or other AAPC coding certification
  • Must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan.

    • Knowledge, Skills and Abilities

  • Excellent verbal and written documentation and communication skills.
  • Knowledge of medical terminology.
  • Familiarity with procedural and diagnostic coding.
  • Familiarity with ICD and CPT coding methodology.
  • Knowledge of medical insurance, collections, and appointments.
  • Excellent customer service skills.
  • Excellent computer and keyboarding skills, including familiarity with Windows.
  • Excellent interpersonal and problem solve skills.
  • Ability to work in a team environment.
  • Ability to manage competing priorities.
  • Ability to engage others, listen and adapt response to meet others’ needs.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to align own actions with those of other team members committed to common goals.
  • Ability to understand, recall, and communicate, factual information.
  • Ability to understand, recall, and apply oral and / or written instructions or other information.
  • Ability to organize thoughts and ideas into understandable terminology.
  • Ability to apply common sense in performing job.

    • Work Schedule :   Monday- Friday 8am-5pm

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    Certified Coder • Austin, TX , US