Pacific Dental Services

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Medical Coder

at Pacific Dental Services

Posted: 6/6/2019
Job Reference #: 10709
Keywords: medical

Job Description

  • Job LocationsUS-NV-Henderson
    Requisition ID
    2019-10709
    Category
    Revenue Operations
    Location : External Name
    Henderson Support Center
  • Description

    Now is the time to join Henderson Support Center. You will have opportunities to learn new skills from our team of experienced professionals. If you're ready to take your career to the next level and gain valuable experience, apply today!

    Overview

    The primary role of the Medical Coder is to abstract and identify the correct CPT and ICD-10 codes from various encounter forms and medical reports and file claims to insurance for reimbursement. The Medical Coder is responsible for assisting other staff with CPT and ICD-10 coding issues hindering expedient collection processes. Responsibilities include confirming modifier coding, utilizing sound professional coding judgment in establishing priority sequencing of diagnosis codes and services to assure maximum allowable reimbursement consistent with PDS Compliance Regulations, HCFA, Medicare, Commercial Insurance Carriers and all other regulatory agencies. The position assists in providing coding education and required documentation criteria to practitioners and staff and aarticipates in job-related projects.

    Responsibilities

    MAJOR RESPONSIBILITIES

    1. Assigns appropriate codes for a 95% accuracy rate or better (quality standard).
    2. Reviews chart documentation to support ICD-10 and CPT codes, and takes appropriate action if documentation is not supported by coding appropriately.
    3. Analyzes and evaluates findings, diagnosis and procedure codes identified by physicians.
    4. Researches CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
    5. Files and follow s up on Third Party claims.
    6. Utilizes Internet and other resources to research newly identified diagnosis and/or other procedures.
    7. Answers inquiries from staff and/or clients concerning CPT and ICD-10 codes.
    8. Prepares and performs written reports of all audits.
    9. Maintains strict patient and physician confidentiality and follows all federal and state guidelines for release of information.
    10. Maintains updated knowledge of coding requirements; including continuing education and certification renewal.
    11. Maintains accurate and up to date logs of discrepancies in coding trends that negatively impact collections and presents this information and innovative resolutions to the Billing Manager.
    12. Acts as a liaison between the CBO (Central Business Office) department, billers, and third party payers in resolving billing and reimbursement accuracy.
    13. Other duties as assigned.

    Qualifications

    REQUIRED:

    • Associate’s Degree in Health Information Administration, Medical Coding, or related field from an accredited college or technical school or equivalent combination of education and/or work experience.
    • +1 years of related work experience in medical coding.
    • CPC certification is required.
    • Coding course work in medical terminology, anatomy, and physiology.

    DESIRED:

    • Prior coursework or on-the-job training in the fields of dentistry, business, or training.
    • Knowledge of WORD, EXCEL, POWERPOINT and QSI software applications.

    Pacific Dental Services is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.

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    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!