Coder OP

Job Summary:

In collaboration with department leadership, plans, implements and evaluates McKenzie Physician Services revenue cycle policies, procedures and practices. Ensures consistency and integrity of charging practices and appropriate hospital reimbursement through billing audits. Collects data and makes recommendations to ensure congruency. Utilizes both internal and external data for benchmarking and reporting purposes. Identifies, plans and implements opportunities for improvement in the McKenzie Physician Servicese charging and documentation processes. Reviews 100% of Summit Surgical Specialists' records, compiles data, prepares analysis and collaborates on development of process improvement plans to eliminate/minimize issues. Serves as CDM liaison with corporate office. Solves problems independently using appropriate resources and sound judgment regarding management involvement. Identifies opportunities for improvement at the unit level and participates in performance improvement efforts.

Educational/Licensing:

Associates or Bachelors degree desired. Coding experience required in General Surgery, Vascular Services and Vascular Imaging. Certified Coder required.

Qualifications:

Working knowledge of basic medical terminology, ICD-9, CPT and HCPCS codes. Ability to accurately code General, Vascular Surgery and Vascular Imaging services. Minimum of 2 years recent experience in a healthcare setting, clinic setting preferred. Proficient in Excel and Microsoft Word. Previous chart auditing, charge description master, coding and/or billing experience required. Ability and willingness to work full time. Ability to collect, process and evaluate information. Ability to work independently with minimal supervision. Ability to research and analyze data as well as produce reports from a variety of sources. Ability to accurately complete assignments in a timely manner. Ability to effectively prioritize work, negotiate, make sound decisions and meet deadlines. Ability to respond quickly to department, facility and corporate requests for data. Ability to work effectively both as a team leader and a team member. Excellent organizational and problem solving skills. Strong math skills. Excellent verbal and written communication skills with all levels of customers. Understanding of insurance types and appropriate selection processes necessary. Understanding of insurance contracting preferred. Ability to read billing statements, interpret payments and EOB's necessary. Must support and maintain compliance on all necessary McKenzie Surgical Services policies for revenue cycle to include: adjustments, write-offs, etc. Responsible for working denials and all hold or manager hold bucket claims as assigned from leadership.