Coder II (CBO #1919 FT) |
| Location: | Eugene, OR |
| Exempt/Non-Exempt: | Non-Exempt |
| Benefits: | 40 Hrs/Wk; Benefited |
| Type: | Full Time |
| Department: | Billing and Support Services |
| Description: | Performs regular chart audits, researches Medicare and compliance issues. Assists with training of physicians and staff on coding issues, review denials, identify third party payer trends. Works closely with Patient Billing and Registration Department. Reviews and processes charge tickets according to Oregon Medical Group procedures and government regulatory standards. |
| Duties: | (This list may not include all of the duties assigned)
1. Applies coding principles consistent with government regulatory standards, payor specific guidelines of the health plans, and OMG policy.
2. Serves as coding reference/resource to coders, physicians and other staff.
3. Works with physicians to provide physician education regarding coding principles and resolve coding issues.
4. Performs chart audits and provides feedback to physicians.
5. Reviews charge tickets for accurate CPT coding including assignment of appropriate modifiers.
6. Review charges to ensure ICD-9 codes are coded to the highest level of specificity.
7. Matches ICD-9 to CPT code based upon documentation within medical record (if not indicated by provider).
8. Assigns ICD-9 code based upon documentation within medical record (if not indicated by provider).
9. Enters office and hospital charges into practice management system.
10. Assists patients and billing office staff with coding questions related to billing issues.
11. Assists with development of written department standards, guidelines, policies, and procedures.
12. Maintains strictest confidentiality.
13. Ongoing Customer Service Training.
14. Performs other duties as assigned.
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| Qualifications: | 1. Knowledge of coding policies and procedures and reimbursement practices.
2. Ability to examine documents for accuracy and completeness.
3. Knowledge of clinic operating policies
4. Ability to prepare records in accordance with detailed instructions.
5. Skill in using computer and 10 key calculator..
6. Ability to work effectively with patients and co-workers.
7. Ability to communicate clearly, both verbally and in writing.
Education: Equivalent of a high school diploma.
Certification: Active CPC or CCS-P Coding Certification.
Experience: Minimum 2 years coding experience in an outpatient setting (CPT, ICD-9, HCPCS) and medical terminology.
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