Certified Medical Coder

DaMar Staffing; Wenatchee (WA); On-site; USD 52,000 - 76,000; Full time

Job summary

DaMar Staffing seeks a Medical Billing Coder to certify accurate billing for professional services and hospital procedures. You will review clinical encounters, verify correct coding, and apply modifiers and CCI edits. The role also includes educating providers to ensure proper completion of medical records.

Responsibilities include reviewing encounters, posting charges, and communicating any coding issues to providers to maintain compliant documentation and coding accuracy.

Qualifications

• Reviews clinical encounters to ensure proper submission of services before billing.
• Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required.
• Verifies data elements for accuracy prior to submission of coding.

Responsibilities

• Review electronic lists of encounters to ensure accurate billing submissions.
• Communicate coding issues to providers when documentation is incomplete or incorrect.
• Collaborate with clinical staff to resolve coding and documentation concerns.
• Educate providers on coding rules and trends during regular meetings.

Skills

Medical coding

CCI edits

Diagnosis coding

Procedural coding

Education to providers

Tools

Coding software

Job description

Job Summary

The Coder's primary job function is to certify accurate billing for professional services and hospital procedures. This is accomplished through review of clinical encounters, confirming correct use of diagnosis and procedural codes and application of appropriate modifiers and CCI edits. The Coder provides education to providers to ensure proper completion of the medical record.

Job Specific Competencies

• 1. Reviews clinical encounters presented via electronic lists to ensure proper submission of services prior to billing.
  
  
  
  • a. Edits and corrects diagnosis and procedural codes and applies modifiers and CCI edits as required according to coding guidelines and department policy.
  
  
  • b. Effectively utilizes coding software and/or books to confirm coding accuracy.
  
  
  • c. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding.
  
  
  
  


• 2. Receives and reviews paper fee slips for hospital services and ensures proper coding of diagnosis and procedural codes.
  
  
  
  • a. Applies modifiers and CCI edits as required and supported by the documented medical record. Posts charges for final billing.
  
  
  • b. Verifies referring provider, rendering provider, department and other critical data elements are accurate prior to submission of completed coding.
  
  
  
  


• 3. Utilizing approved methods, communicates incorrect application of procedure or diagnosis codes or incomplete medical documentation to providers.
  
  
  
  • a. Reports all unresolved non-compliant coding issues immediately upon discovery, as dictated by department or organizational policy.
  
  
  • b. Works with providers and clinical support staff to resolve coding and documentation concerns.
  
  
  
  


• 4. Meets on a regular basis with providers and clinical staff (for their assigned specialties) for the purpose of educating them on coding rule changes and/or coding trends and to answer coding questions
  
  
  
  • a. Participates with educational activities with clinical departments, corporate compliance, etc. to ensure lines of communication among departments remains