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Certified Coder

Certified Coder

American Vision PartnersPhoenix, AZ, US
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Job Description

Job Description

Overview

As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges.

Responsibilities

  • Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis
  • Reviews physician notes and charts for accuracy
  • Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards
  • Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed
  • Identifies and optimizes revenue opportunities
  • Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers
  • Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers
  • Posts, produces and sends all charges for invoice vendors
  • Adheres closely to the department’s charge reconciliation process
  • Posts any related payments and / or adjustments for surgery charges posted
  • Makes changes to demographic information as necessary in order to produce a clean patient statement
  • Reviews denial tasks for potential to correct coding and communicate trends identified while working tasks
  • Maintain flexibility with daily schedule to accommodate month end requirements
  • Performs all other assigned duties

Qualifications

  • High School Diploma or GED required
  • Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) or CPC-A required
  • 5+ years medical billing or coding experience
  • Experience in Ophthalmology is a plus
  • Nextgen experience preferred
  • Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
  • Demonstrated computer literacy, math skills, and excellent verbal and written communication skills
  • Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment

    • Ability to maintain a high level of confidentiality and professionalism

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    Certified Coder • Phoenix, AZ, US