Physician Billing Coder - Health Information Management - Full Time - 1st Shift

Ephraim McDowell Health; Baughman Heights (KY); Hybrid; USD 32,000 - 47,000; Full time

Benefits offered by this job

Education Assistance Program

Pharmacy Residency Program

Job summary

Ephraim McDowell Regional Medical Center, Inc. is seeking a Physician Billing Coder for Health Information Management on a full-time first-shift basis. You will apply ICD-10-CM and CPT codes to clinic charts, ensuring accurate indexing for reimbursement and statistics.

This role requires knowledge of coding guidelines, encoder usage, and collaboration with business office staff to resolve issues while maintaining HIPAA compliance and confidentiality.

Qualifications

• One year of coding or charge entry experience required.
• Associates Degree in Health Information Management or coding preferred.
• CPC required within 6 to 12 months of hire; related certifications encouraged.

Responsibilities

• Review and assign ICD-10-CM/CPT codes from physician records.
• Use encoder to verify codes and modifiers and resolve billing edits.
• Work delinquent accounts to meet documentation deadlines for reporting.

Skills

Coding knowledge

Communication skills

Education

Associate’s Degree in HIM or coding

CPC certification within 6–12 months

Tools

Encoder

Office equipment

Job description

Physician Billing Coder - Health Information Management - Full Time - 1st Shift

#26-650

Location

Ephraim McDowell Regional Medical Center, Inc.

Department

206060 - EMHR HIM

Position Type

Full Time - 36+ hours per week

Job Description

JOB SUMMARY:

Under the direction of the System Director of Health Information Management monitors coding and reimbursement activities with respect to the EMHR clinics. Codes are to be used for diagnosis, procedure and physician indexing, statistics, trend analysis and reimbursement purposes. Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust).

ESSENTIAL FUNCTIONS, DUTIES AND RESPONSIBILITIES:

• Reviews and analyzes codes submitted from physicians. Applies the appropriate ICD-10-CM code and/or CPT code to clinic charts by abstracting pertinent information from patient records and applying coding guidelines.
• When needed, use the encoder to ensure appropriate codes and modifiers have been applied. Reviews all edits within encoder to resolve any delays in billing from a coding perspective.
• Works delinquent accounts to ensure that deadlines for documentation are met for reporting requirements.
• Distributes coding information to appropriate personnel. 5. Works closely with the business office staff to help resolve any coding related issues.
• Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills by attending educational opportunities and staying current with significant changes in coding procedures and regulations.
• Review and work Quadex claims in a timely manner to avoid delays in billing.
• Works independently, bringing identified concerns to the supervisor for resolution.
• Considers the age and demographics of the patient served, applies knowledge of growth and development and age specific techniques through the lifespan (neonates/infants, pediatrics, adolescents, adults and geriatric patients) in planning and implementing care.
• Maintains confidentiality by adhering to all HIPAA guidelines and Ephraim McDowell Health policies related to HIPAA.
• Contributes to the achievement of the mission and philosophy of the Organization.
• Contributes to the effective operations of the Organization by demonstrating dependability in job performance.
• Demonstrates a commitment to incorporating the core concepts of patient family centered care into practice (dignity, respect, information sharing, and participation).
• Demonstrates a commitment to the development and implementation of shared governance across the Organization.
• Performs other related duties as assigned.

WORKING CONDITIONS, HAZARDS AND PHYSICAL EFFORT:

Works in a typical office setting. Must be able to work under pressure and meet deadlines. May require working evening and weekend shifts with overtime as necessary. Ability to work in a stationary position and move medium weight files under 10 lbs. The tasks of this job do not involve exposure to blood, body fluid or tissue. The responsibilities of this position are not subject to a specified number of work hours but rather a flexible schedule based on meeting volume requirements and departmental director’s approval. May be able to work remotely with occasional on-site responsibilities.

CONTACTS WITH OTHERS:

Contact with most all Organization Associates, providers, patients, visitors, vendors, insurance carriers, and clinic Associates.

EQUIPMENT USED/SPECIAL SKILLS REQUIRED:

Personal terminals, calculators, PC and printers, and copier, excellent communication skills. In-depth knowledge of coding practices and third-party payor requirements.

Experience Required

One year of coding experience or charge entry experience required.

Education Required

High school graduate or equivalent. Associate’s Degree in Health Information Management or coding or other related field preferred.

Certification Required

CPC required within 6 to 12 months of hire.Individual Coding Specialty certifications are encouraged but not required.

Shift

1st Shift

Compensation:

$22.87 - $34.31 per hour based on total years of experience.

Education Assistance Program

Pharmacy Residency Program

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