*Company: *Fox Valley Surgical Specialists - Appleton WI
*Job Title: *Lead Certified Medical Coder
*Department: *Business Office
*Immediate Supervisor Title: *Revenue Cycle Manager
*Job Supervisory Responsibilities: *None
*Hours:* 40 hours per week, Monday – Friday 8:30-5:00
*General Summary: *A nonexempt position responsible for converting physician documentation to CPT and ICD-10 codes for billing purposes.
*Essential Job Responsibilities:*
* Code physician services for all encounters and procedures performed in the office, outpatient and inpatient settings.
* Assign and post appropriate ICD-10 and CPT codes using various resources.
* Resolve coding-related claim denials and write appeal letters.
* Interact with providers and clinical staff on coding and documentation questions.
* Answer coding/billing questions from patients, internal staff and outside offices.
* Act as a resource for other coding staff.
* Assign coding tasks to team members to ensure timely claim submission.
* Investigate coding related issues to find guidance and best practice.
* Review registration for all of the manually posted charges.
* Complete coding audits.
* Implement and update policies and procedures related to coding processes.
* Monitor the time and attendance of coding staff.
* Participate in the hiring of new coders.
* Train new coders.
* Facilitating monthly business office meetings along with billing lead.
* Hold the coding staff accountable to organizational goals.
* Participate in annual reviews for coding team.
* Present provider education and training on documentation requirements.
* Support and assist practice administration and physicians as needed.
* Attend webinars, workshops, and seminars to keep up with coding guidelines.
* Other duties as assigned.
*Education: *Certification by AAPC accredited coding program and ICD-10 certification is required.
*Experience: *Certified professional coder with 5+ years of experience.
*Other Requirements: *Must maintain coding certification by means of continuing education.
*Performance Requirements:*
_Knowledge:_
* Knowledge of coding practices and clinic policies and procedures.
* Knowledge of ethical standards of coding.
* Knowledge of Medicare and Medicaid policies.
* Knowledge of medical terminology, anatomy and physiology
* Knowledge of HIPAA regulations
* Knowledge of office policies and procedures to adequately respond to other staff members and patients.
* Comprehensive knowledge of insurance regulations and industry.
* Knowledge of computer systems, programs and applications.
_Skills:_
* Proficient skills in computer programs.
* Establishing working relationships with other staff and patients.
* Skill in written and verbal communication.
* Skill in planning, organizing, delegating and supervising.
* Skill in problem solving and decision-making.
* Skill in time organization.
* Skill in identifying and resolving accounting problems.
* Skill in dealing with multiple projects and interruptions.
_Abilities:_
* Ability to read and interpret medical charts.
* Ability to examine documents for accuracy and completeness.
* Ability to communicate effectively and work with others.
* Ability to enter data accurately and examine insurance documents.
* Ability to cover all other financial positions in the department in the event of an employee’s vacation, termination or illness.
* Ability to deal courteously with patients, staff and others.
* Ability to maintain confidentiality of financial matters.
* Ability to prepare comprehensive reports.
* Ability to work with and learn new computer systems and office equipment.
* Ability to work independently and meet deadlines as assigned.
*Systems Used: * Epic Professional Billing, Microsoft Outlook, Microsoft Word.
*Equipment Operated: *Standard office equipment including computers, fax machines, copiers, printers, telephones, calculators, etc.
*Work Environment: *Remote after training in person in office along with monthly in office team meetings.
*Mental/Physical Requirements: *Requires sitting and standing associated with a normal office environment.
Job Type: Full-time
Pay: $25.
00 - $32.
00 per hour
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Day shift
* Monday to Friday
Work Location: Remote
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