Coder - Union Hospital - Terre Haute, IN

Gathers and audits charge documents within 24 hours of receipt.

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Logs partial charge documents and notifies physician’s practice manager

missing documents and tracks until received.

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Chooses and applies CPT/HCPCS/ICD codes to charge document or transcribed medical record.

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Prepares charge/diagnosis problems for return to physician’s practice manager.

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Logs unresolved charge/diagnosis problems returned to practice and track until return for data entry.

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May enter audited charges into billing system through medical necessity coding system.

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Monitors insurance medical necessity rules and audit against charge documents.

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Returns charge documents to practice to resolve insurance medical necessity issues.

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Informs Manager of unresolved medical necessity issues.

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Informs Medicare/Managed Care Coordinator of services or fees not contained in the billing system.

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Logs service/fee issues and tracks until return for data entry.

CUSTOMER SERVICE STANDARDS

Customer Service (a customer is anyone, internal or external, with whom you come into contact, i.e., co-workers, patients, visitors, etc.)

1)

Attitude

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Promptly responds to customers in a friendly manner, listening carefully and using customer’s name.

Every customer greeted with a smile.

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Is consistently courteous and helpful.

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Is considerate, sensitive and tolerant of all customers and their differences.

2)

Professionalism

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Answers telephone promptly, consistently identifies self and department and returns calls promptly.

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Is responsible for ensuring that all patient, facility and employee information is not compromised.

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Respects privacy of all by eliminating gossip and unprofessional talk.

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Displays a professional appearance at all times, including appropriate dress as defined in employee handbook and wearing visible identification badge at all times.

3)

Commitment

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Welcomes and supports all customers.

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Displays follow through at all times to ensure customer satisfaction.

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Is honest in all interactions

4)

Ownership

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Takes pride in organization as if you own it, speaks positively about the organization and practices safety as a daily work habit.

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Continually seeks new and better ways of doing things.

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Supports and participates in various teams, events and activities provided by the Clinic.

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TRAINING, EXPERIENCE, SKILLS AND ABILITIES NEEDED:
1.

Working grasp of standard written and verbal English, good spelling, accomplished at basic business math.

2.

Understands debits, credits, and allowances.

3.

Accomplished in alphabetic and numeric filing.

4.

Basic keyboarding skills.

Working knowledge of computer preferred.

5.

Must meet and deal successfully with a wide variety of people.

6.

Able to read and interpret computer reports.

7.

Understands rules and regulations for various insurance, Medicare, and Worker’s Compensation.

8.

Able to work in fast-paced stressful environment.

9.

Previous coding experience required.

A coding test will be administered.

10.

Knowledge of medical terminology required.

ICD-9 and CPT coding.

PHYSICAL DEMANDS:
While performing the duties of this job, the employee is regularly required to talk or listen.

The employee is required to sit at long periods of time, use hands to finger, handle, or feel objects, tools, or controls.

The employee is occasionally required to stand, walk, and reach with hands and arms.

Employee must frequently lift and/or move up to 10 pounds.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

OSHA III Classification.

TOOLS AND EQUIPMENT:
1.

Computer, calculator, copier, telephone, and general office equipment

2.

ICD-9 and CPT code books

EOE/M/F/Vet/Disabled