What are the responsibilities and job description for the Hospital Coder position at Mednax?
Overview
Mednax, Inc. and its affiliated practices operating as Pediatrix® Medical Group (Pediatrix) are one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix-affiliated clinicians have been committed to providing coordinated, compassionate and clinically excellent services across the continuum of care, both in hospital settings and office-based practices. Specialties including obstetrics, maternal-fetal medicine, and neonatology are complemented by 18 pediatric subspecialties and a newly expanded area of primary and urgent care clinics. The group’s high-quality, evidence-based care is bolstered by investments in research, education, quality-improvement and safety initiatives.
Today through almost 8,000 employees in 38 states, dedicated teams including physicians, advanced practitioners, clinical leaders, business and operational experts work together every day to fulfill our mission to take great care of the patient®. We invite you to join the Pediatrix family and help shape the future of health care.
The Hospital Coder is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized through the account registration, billing, coding of hospital records and data entry of all hospital based charges into the billing system.
Responsibilities
Code from hospital records, physician notes and ancillary records. Assign modifiers and sequence codes appropriately to accurate reflect services provided.
Gather and verify current demographic information including insurance information, insurance benefits and eligibility and obtains valid authorizations and referrals; contacting insurance companies (as necessary).
Process daily billing; completing and submitting daily and monthly statistics and assisting the Practice Manager and physicians with coding and billing duties as needed.
Obtains medical information from physicians and hospitals when required to validate correct coding.
Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when indicated.
Responds to accounting or billing inquiries from physicians and management.
Ensures medical records are complete and forwards to appropriate departments for filing and/or audit.
Notifies physicians when documentation is unavailable for coding and billing and works with physicians on correct documentation of services.
Follow all government and payer coding guidelines and HIPAA guidelines.
Performs other duties as assigned.
Effective November 1st, 2021 MEDNAX will require all employees and new hires to be vaccinated against COVID-19, unless they qualify for an approved medical and/or religious exemption.
Qualifications
Education Level: High school diploma or GED. Associate's degree preferred.
Experience Years: 3-5 years related experience.
Experience Industry: Healthcare
Certification in Professional Coding (CPC) is preferred and in some sites may be required.
Surgical coding and coding modifiers experience preferred
Equivalent combination of relevant education and experience will be considered.
MEDNAX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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