Multi-Specialty E\M Coder:
Full Circle Medical Billing is committed to providing timely and accurate coding and billing services to physician groups and ambulatory surgical centers. Full Circle believes in the ripple effect of investing in our employees. We care about diversity, equity, and inclusion. We search for those employees seeking to advance their career path through promotion and development. Full Circle’s leadership is invested in each of our employee’s successes
Job Responsibilities:
- The Coder is responsible for the assignment of accurate ICD-10 CM/CPT/HCPCS/ Level I & II modifiers through evaluating and interpreting medical records and documentation.
- Coding must be timely to meet contractual billing deadlines.
- Adhere to official coding guidelines and regulations, CMS, AMA, and other specialty societies.
- Collaborate with RCM team regarding trends and provider education.
- Routinely monitor coding and regulation changes.
- Communicate to clinical supervisor discrepancies in coding based on audit findings and record review.
- Provide feedback/education related to documentation issues and/or missed revenue.
- Review claim denials from Revenue Managers for potential coding revisions.
- Meet or exceed required departmental expectations on a consistent basis.
- Presents a positive, professional appearance and demeanor in the performance of assigned duties.
Qualifications:
- Proficiencies preferred in the following specialties: Pain Management, OB/GYN, Pro-fee Breast Reconstruction, Family Practice, Gastroenterology, and Outpatient Surgery.
- Certified Professional Coder (CPC) required, Certified Coding Specialist – Physician (CCS-P) preferred with current certification.
- Minimum of two (2) years coding experience in a physician practice setting.
- Must pass pre-employment coding assessment test before hire.
- Proficient in ICD-10CM/PCS, HCPCS/CPT coding as well as Local Coverage Determinations.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Comprehensive knowledge of coding guidelines in collaboration with federal regulations (CMS, NCCI etc.).
- Attention to detail and completeness with a detailed understanding of government regulations, along with medical coding and reimbursement guidelines.
- Ability to identify/trend/summarize potential compliance, coding, or billing concerns and bring forth a potential resolution.
- Competency in Microsoft suite. Working knowledge of eCW, Modernizing Medicine, and Kareo preferred.
- Ability to function independently and as a team player in a fast-paced environment required.
- Ability to communicate effectively with physicians and co-workers.