Posted on: June 25, 2022
Overview Responsible for entering charges and providing
accurate, complete and appropriate coding using ICD-10-CM and
CPT/HCPCS classification systems. Assigns appropriate codes to
diagnoses specified in the record by the treating provider(s) and
in keeping with regulatory requirements.
Responsibilities Codes services provided and documented within the
Reid Health Physician Associates medical record for the purpose of
quality planning and assessment, reimbursement, research and
compliance with Federal regulations according to ICD-10-CM and
CPT-4/HCPCS classification systems.
Assists with compliance of addressing HCCs as required by
Performs charge entry and data entry/abstraction on patients into
the applicable computer system.
Consults with providers and office staff as needed on documentation
issues and other regulatory issues as they arise.
Attend Practice Operating Council and other practice meetings to
present educational updates or discuss unique findings and
recommendations as requested.
Assists providers with appropriate diagnosis determination as
Runs reports to assure claims are error free and fixes claims as
Keeps current with coding guidelines, rules and regulations and new
Refers coding and system questions to the RHPA Coding
Manager(s)/Director in a timely manner.
Refers complex coding and system questions to the RHPA Coding
Manager(s) in a timely manner.
Assists with abstraction and retrieval of data for special
Assists the Central Billing Office and RHPA practices with coding
functions as needed.
Follows compliance with all laws, regulations, and guidelines of
federal and state programs with an emphasis on prevention of fraud,
waste and abuse.
Performs special assignments as required.
Certification as a professional coder through an organization that
specializes in medical office coding or current enrollment in a
certification class. Certification must be obtained within 6 months
Working knowledge of the 10-CM and CPT/HCPCS coding systems,
medical terminology, anatomy and physiology.
Working knowledge and ability to identify Hierarchical Condition
Must have knowledge of the physician billing process.
Experience in computer operations.
Successful completion of Reid Healths orientation and competency
based skills appropriate for the job. Individual performance and
competency based skills are maintained through ongoing assessment
of competence and educational activities. Will receive written
evaluations on an annual basis.
Schedule Details Day Shift. 40 hours weekly. 8:00am - 4:30pm
Keywords: UNAVAILABLE, Dayton , Coder-RHPA, Other , Richmond, Ohio
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