Provider Based Coding Analyst I

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 54.000; Vollzeit

Zusammenfassung

Jobtailor in Germany is seeking an entry-level medical coder to join our health information team. You will perform ICD-10-CM and HCPCS/CPT-4 coding for Tier 1 specialties and enter diagnoses, procedures, and modifiers into the hospital information system. You will ensure accuracy, meet turnaround times, and support documentation improvements.

You will work under supervision to learn provider-based billing workflows, maintain data integrity, and help maximize reimbursement for documented services.

Qualifikationen

• Associate degree or coding curriculum completed.
• Strong CPT/ICD-10-CM and HCPCS knowledge required.
• Familiarity with provider-based billing processes and workflows.

Aufgaben

• Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties
• Enters diagnoses, procedures, E/M levels, and modifiers into HIS
• Adheres to coding principles, regulations, and payer requirements
• Reviews edits to ensure accuracy of billed information
• Maintains quality and productivity standards
• Provides feedback to providers to improve documentation
• Meets turnaround time requirements
• Monitors work queues and flags delays
• Collaborates with coding manager to maximize reimbursement

Kenntnisse

CPT/ICD-10-CM knowledge

Medical terminology

Data analysis

Provider billing workflows

Anatomy & physiology

Ausbildung

Associate's Degree in healthcare or coding

Jobbeschreibung

Responsibilities

• Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties
• Enters a variety of data such diagnoses, procedures, E/M levels, and modifiers into the hospital information system
• Adheres to coding principles, governmental regulations, and third party requirements in regards to coding and billing documentation
• Reviews and resolves relevant edits to ensure accuracy and integrity of info billed to payers
• Achieves and maintains established quality standards
• Achieves and maintains established productivity standards
• Provides feedback to providers; makes recommendations to improve medical record documentation
• Meets turnaround time requirements
• Monitors assigned work queues and alerts manager if lag days exceed established standard
• Works with coding manager to ensure maximum reimbursement for properly documented services

Requirements

• Associate's Degree in a healthcare related field or coding curriculum
• Less than 1 year of experience in multi-specialty
• Knowledge and understanding of medical terminology
• Knowledge and understanding of provider based billing processes and workflows
• Knowledge of human anatomy and physiology and disease processes
• Skilled in collecting and analyzing complex data
• Proficient, functional use of Current Procedural Terminology (CPT) and ICD-10-CM and HCPCS
• CCA - Certified Coding Associate AHIMA - State of Pennsylvania within 1 year or CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or CPC - Certified Professional Coder - State of Pennsylvania or CPC-H - Certified Professional Coder-Hospital AAPC - State of Pennsylvania