MEDICAL CODER - ONCOLOGY

ADP, Inc.; Maumee (OH); On-site; USD 42,000 - 60,000; Full time

Job summary

The Toledo Clinic seeks a skilled medical coder to apply ICD-10 and CPT codes to procedures, manage denials in the eCW system, and maintain accurate patient billing records. You will enter charges, monitor claims, and develop workflows to ensure accuracy and accountability within the billing process.

Expect collaboration with providers and insurance companies to resolve billing questions and ensure all visits are properly documented and billed according to regulations.

Qualifications

• Knowledge of ICD-10 and CPT codes and manuals required.
• Ability to seek tasks when primary tasks are completed and assist co-workers as needed.
• Demonstrates adaptability to expanded roles.

Responsibilities

• Responsible for applying CPT and ICD-10 codes to all procedures performed for a given date of service.
• Track patients seen and work all eCW claims for denials and errors.
• Enter charges into claim entry in eCW and monitor claim activity.
• Create workflow processes to ensure accuracy and accountability.
• Assist patients and/or insurance companies with billing and authorization questions.
• Coordinate with providers to ensure all visits are accounted for using schedules.

Skills

ICD-10 coding

CPT coding

Task prioritization

Education

CPC or CCS-P certification

Tools

eCW (eClinicalWorks)

Job description

Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.

• Consistently arrives at work on time and adheres to regular work schedule.
• Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.
• Demographic registration/updates for all patients.
• Enters charges into claim entry in eCW.
• Monitors, submits, correct all claim activity.
• Create workflow processes to ensure accuracy and accountability.

Other Essential Duties May Include but Are Not Limited To

• Assists patients and/or insurance companies with billing and authorization questions.
• Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules.
• Other duties as assigned.

Knowledge, Skills & Abilities Required

Required:

• Consistently arrives at work in appropriate/professional attire.
• Completes all tasks within established time frame.
• Knowledge of ICD10 and CPT codes and manuals required.
• Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
• Demonstrates adaptability to expanded roles.
• CPC or CCS-P or able to pass Toledo Clinic’s comprehensive coding test.
• Adheres to all clinic policies and procedure.