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Senior Coder in Fairlawn,OH - Montrose,OH - Copley,OH at TeamHealth

Date Posted: 10/26/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Senior Coder is responsible for performing monthly Level 1 quality assurance audits for all departmental coders. The senior verifies that Coding department staff follows Team Health coding criteria as defined in the Coding Policy and Procedure Manual, corporate policies, and Billing Center policies.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Perform random Level 1 quality assurance audits for each coder
  •             a.         40 charts per coder as directed by QA policy
  •             b.         The accuracy of: 1.) physician number, 2.) diagnosis code(s), 3.) procedure code(s), and 4.) modifiers should be verified
  • Prepare individual written report for each audit to Trainer, identifying and communicating potential quality issues.
  • Assist Coding Trainer with new employee training audits or retraining audits.
  • Assist with coding and/or correcting charts sent by all departments.
  • Assist with auditing on MRTS incomplete and unbillable chart reviews, or any other department reviews to ensure coding accuracy and adherence to policies.
  • Answer coding questions, and assist coders with charts.
  • Complete TES and Claim Edits on a weekly basis.
  • Complete Revenue Center requests for new providers.
  • Evaluate and report documentation issues to necessary contacts.
  • Perform production coding on an as needed basis.
  • Other duties as assigned by manager.

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding
  • Extensive knowledge of medical terminology
  • Extensive knowledge of regulatory requirements
  • Extensive knowledge of physician billing and reimbursement
  • Effective communication skills, able to interact effectively with all levels
  • Minimum high school diploma or equivalent of experience in physician coding and billing related field.
  • CPC or CCS-P certification preferred.
  • 1-2 years in a work leader or supervisory position
  • 2-4 years of previous medical coding experience, emergency medicine experience preferred
  • Overtime may be needed on a voluntary basis.

SUPERVISORY RESPONSIBILITIES:

  •  None

PHYSICAL / ENVIRONMENTAL DEMANDS:

High production volume, fast paced working environment.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.