Biller & Coder

Must reside in the following states:

AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA, and WV.

Performs basic, accurate, timely charge and code entries. Uses ICD-10 and CPT-4 books and online references to appropriately identify codes and billing modifiers.

1. Translates narrative information from billing encounter forms and orders into ICD-10 and CPT-4 codes.

2. Uses electronic medical records and multiple systems to identify diagnosis and procedure codes. Identifies and resolves discrepancies on charge slip or charge (billing) report by referencing medical record.

3. Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.

4. Researches and resolves charging and medical necessity edits.

5. Independently reconciles charges for areas of responsibility. Uses patient schedule together with billing slips to identify missing charges. Researches and resolves discrepancies so charges keyed reflect services delivered.

6. Attends and participates in required hospital education programs to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines, and regulations.

7. Uses appropriate, accurate communication techniques when addressing billing barriers.

8. Exhibits strong competency in use of all computer systems and applications that are commonly used for position.

9. Achieves the organization’s established expectations regarding customer service, teamwork, and safety.

10. Fulfills all compliance responsibilities related to the position.

11. Performs other duties as assigned.

Required:

Data entry, MS Word, MS Excel skills. Experience in charge capture process or medical record review. Strong verbal and written communication and analytical skills. Documented proficiency in use of ICD-10 and CPT-4 coding as required by position. Knowledge of how to accurately use ICD-10 and CPT-4 books. Sound knowledge of basic code structure is required.

• Must have 1 Year of Certified Working Experience Minimum in Facility Radiology Coding (Please apply only if you meet this experience requirement.)
• CPC, CPC-A, CCS Required

Manual: significant manual skills/motor coord & finger dexterity

Occupational:
Little or no potential for occupational risk

Physical Effort:
Sedentary/light effort. May exert up to 10 lbs. force

Physical Environment:
Generally pleasant working conditions

Company:
Nuvance Health

Org Unit: 2070

Department:
Coders

Exempt:
No

Salary Range: $21.49 - $41.73 Hourly