High School Diploma / GED required; Associate’s degree in relevant area of study preferred
One year of previous coding within Cardiac Catheterization/Surgery specialty preferred
Certification through AHIMA (CCS-P) and/or AAPC (CPC) required.
Analytical skills to gather and interpret data that requires the use of basic scientific, mathematical or technical principles.
The Medical Coder - Cardiology will be responsible for:
· Retrieving daily schedules and booking lists; verifying that billing information has been downloaded and updated for procedures performed. Working with other Hospital staff to resolve any discrepancies in the schedule to ensure every service is accounted for. Following up on missing or incomplete information.
· Updating computer system with new demographic or insurance information as received. Verifying Massachusetts Medicaid through POS device, confirming free care with Hospital billing and obtaining billing information from other Hospitals that are Institutional Billing. Resolving any erroneous information.
· Reviewing all providers coding on a daily basis to ensure accuracy and maximization of revenue. Utilizing information systems to process accurate medical billing, maximizing efficiency and obtaining accurate demographic information on patients. Following-up with physicians, clinicians, fellows and residents on coding and documentation requirements for evaluation and management services and office procedures as needed. Tracking coding issues by provider and updating the Clinical Coding and Compliance Coordinator.
· Preparing coding for billing for the department, all areas of service including off site locations, in and out of patient areas. Coding (CPT-4 and ICD-coding systems) may include operative procedures, office/minor procedures, diagnostic procedures and all evaluation and management services.
· Serving as a resource person for the department on coding, billing and claims issues. Assisting providers and staff with identifying codes and resolving billing issues. Preparing estimates including International and self-pay patients and providing other analysis as needed.
· Keeping informed of third party regulations in billing/reimbursement and maintaining files of coding publications. Participating in continuing education programs to ensure that coding knowledge remains current.
To qualify, you must have:
· The level of knowledge typically acquired through completion of two years of occupationally specific education or an Associate’s degree in Medical Records or a closely related field. Proficient computer and data entry and retrieval skills required.
· Certification through AHIMA (CCS-P) and/or AAPC (CPC) is required.
· One year of previous coding experience in cardiovascular surgery or cardiac catheterization preferred.
· The analytical skills to gather and interpret data that requires the use of basic scientific, mathematical and technical principles.
· The ability to exchange information on factual matters, schedule appointments, greet visitors, explain hospital policies and/or relay messages to the appropriate personnel. This type of interaction requires courtesy and tact when dealing with patients and/or hospital employees. Situations that are more sensitive may be referred to others as appropriate.