Certified Coder (Central Billing Office)

Carolina Health Specialists; Myrtle Beach (SC); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Remote work after training

Job summary

Carolina Health Specialists in Myrtle Beach, SC seeks a Certified Coder for the Central Billing Office. The ideal candidate has CPC-A or CPC certification and at least two years of coding experience in healthcare. The role codes CPT/ICD-10/HCPCS, enters charges in AthenaNet, and ensures accurate insurance data.

Remote work available after training. The position offers full-time hours with competitive pay and a benefits package including medical, dental, vision, short-term disability, life

Qualifications

• High school diploma or GED required.
• Two or more years of coding experience in a healthcare organization.
• CPC-A or CPC certification required (AAPC/CCA).
• Knowledge of CPT, ICD-10 and HCPCS manuals.

Responsibilities

• Gathers charge information, codes and overcodes physician coding, enters charges into AthenaNet.
• Reviews clinical documentation to determine level of service and creates the claim.
• Ensures accuracy of patient demographics and insurance information.
• Communicates with physicians regarding coding questions and ensures documentation supports services.
• Maintains HIPAA compliance and confidentiality.

Skills

Excellent computer skills

Medical terminology

CPT/ICD-10/HCPCS knowledge

Insurance knowledge

Communication skills

Teamwork

Education

High school diploma or GED

Tools

AthenaNet

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Clerical Central Billing Office, Myrtle Beach, SC, US

Certified Coder (Central Billing Office) needed for busy multi-specialtypractice in Myrtle Beach. Must have excellent computer skills. Excellent pay and benefits, including medical, dental, vision,short-term disability, life insurance, and 401k. Hours are Monday -Thursdays 7:45am - 5:15pm and Fridays 8am-12pm. Half days on Fridays and noweekends! Remote Work Available once trained.

GENERAL SUMMARY OF DUTIES

Gathers charge information, codes and/or over codes physicians coding, enters charges into AthenaNet billing system, completes billing process including entering insurance information, keying of claims, and other billing/coding duties as assigned.

SUPERVISION RECEIVED

Reports to Coding Supervisor

SUPERVISION EXERCISED

None

• TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time and working in an office environment. Some bending and stretching required . Ability to use a wide array of office equipment including, but not limited to a PC, copier and fax. Manual dexterity required for use of calculator, mouse and computer keyboard.

TYPICAL WORKING CONDITIONS

Normal office environment.

EXAMPLES OF DUTIES

(This list may not include all of the duties assigned)

• Maintains patient checklist as assigned to account for all charges through athenaNet, missing bill slip work list.
• Works rules as assigned and code/overcode claims as assigned.
• Researches all information needed to complete billing process to include: the review of the completed medical record to determine level of service, procedures and diagnoses.
• Reviews/interprets all completed clinical documentation to determine level of service, procedures, drugs/medicine provided and accurately assign CPT, HCPCS and ICD-10 coding and create the claim in athenaNet.
• Communicates with physicians regarding questions pertaining to procedures and other services to ensure physician has documented all services provided during encounter.
• Reviews all clinical documentation assigned to ensure compliance with third party and regulatory guidelines, including ‘Incident to’ when applicable.
• Responsible for accuracy of patient demographics, insurance information, etc. This includes the proper order of primary vs. secondary insurance and opening the benefit detail to check for PCP, HMO plans, traditional, secondary qualifier etc.
• Participates in educational activities to include coding teleconferences and continuing education units (CEUs) to maintain certification through professional affiliations.
• Maintains strictest confidentiality and abides by HIPAA regulations.
• Performs related work as required/assigned.

JOB REQUIREMENTS

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of billing practices and clinic policies and procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of CPT, ICD-10 and HCPCS manuals. Strong working knowledge of medical terminology and anatomy required. Knowledge of insurance and third party payer requirements. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to work effectively with co-workers as a team member. Ability to communicate clearly.

EDUCATION

High school diploma or GED

EXPERIENCE

Two or more years of coding experience in a healthcare organization. Ability to gather and interpret clinical data and communicate required clinical documentation improvement (CDI) to physicians and non-physician providers.

CERTIFICATE/LICENSE

CPC-A or CPC through AAPC/CCA through AHIMA

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change asneed evolves.