Medical Coder

Description

Job Summary:

The Spine Team Texas Medical Coder is responsible for reviewing medical coding accuracy for both professional and facility claims.   This position requires advanced knowledge of all medical coding guidelines including extensive knowledge of ICD-10 and CPT.   This position requires full understanding and active participation in fulfilling the mission of Spine Team Texas.  The Medical Coder reports directly to the Revenue Cycle Manager.

Spine Team Texas Attributes

For Spine Team Texas to meet the goals expressed through the company mission statement, it is imperative that all employees possess the following attributes:

1. Knowledge The blending of job-related education, skills and experience.
2. Quantity Level of satisfactory output generated in position per unit time.
3. Accuracy Absence of errors.
4. Judgment Capacity to make reasonable decisions.
5. Innovation Imagination and creativity used to better position.
6. Appearance & Habits Personal habits, grooming, uniform / clothing.
7. Orderliness Organization of the individual’s work and work area.
8. Courtesy Respect for the feelings of others.  Politeness on the job.
9. Cooperation Willingness to help others accomplish their objectives.
10. Initiative Voluntarily starting projects.  Attempting non-routine jobs and tasks.
11. Reliability Dependability and trustworthiness.
12. Perseverance Steadfast pursuit of job objectives when faced with unexpected obstacles.
13. Stability Even temperament. Acceptance of unavoidable tension and pressure.
14. Alertness Ability to quickly understand new information and situations.
15. Professionalism Professional actions, communications and attitude.
16. Teamwork Ability to work in a team for the betterment of staff, patients, and the Company.
17. Observance Observance of Company policies and procedures.
18. Attendance Consistent adherence to work schedule.

Job Responsibilities:

The Medical Coder is responsible for reviewing and evaluating codes for accuracy and appropriateness, ensuring compliance with third party, NCCI guidelines and STT policies.  When appropriate query physicians in procedures or codes that need correcting. Perform charge reconciliation of professional and facility charges posted to identify missed charges.  Maintains frequent and regular contact with RCM Leadership and seeks consultation and guidance when appropriate. Personal initiative to keep abreast of new developments in coding updates.  Other duties and responsibilities may be assigned.

Customer Service

All Spine Team Texas employees are required to always maintain the highest level of customer service.  Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker.  Employees are required to fulfill the Spine Team Texas mission of Offering an Unparalleled Patient Experience!  All employees must exhibit a spirit of cooperation and positive attitude.  Professionalism is to be maintained at all times.

Team Concept:

Spine Team Texas was founded on a team concept approach.  To build and enhance the team, each employee must contribute positive interaction, promote value and be a team-player not only for their unit or department, but for Spine Team Texas as a whole.

Physical Requirements & Work Environment

Must be able to sit for long periods of time in a well-lit, air-conditioned office environment.  Must have the ability to lift a minimum of 5 pounds.  Must be able to work under pressure.  Tasks involve no exposure to blood or other potentially infectious materials.

Qualifications

Educational Requirements & Position Qualifications:

• High School diploma or equivalent is required.
• Completion of advanced level training in medical terminology and anatomy. 
• Coding Certificate required preferably through the AAPC (CPC)
• 2 to 3 years of prior coding experience preferred.
• Must be able to communicate effectively.
• Must be detail oriented and have strong organizational skills.
• Must possess a strong work ethic and high-level of professionalism.
• Must be able to adapt to changing priorities and work volumes.  
• General knowledge of third-party payors, collection laws, and procedures.
• Must have proficient computer skills, with the ability to learn internal application systems.
• Possess the ability to work productively, either independently or with other individuals.