LOP Specialty Certified Coder

JOB TITLE: LOP Specialty/ Certified Coder - (Hybrid Role)

This is a hybrid position based at our corporate office in Brentwood TN with on-site work required Monday through Wednesday.

GENERAL SUMMARY OF DUTIES: Reviews medical records codes patient charges and processes in a timely manner and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing as well as a proactive professional who can identify collection trends and solve them in a timely manner.

SUPERVISION RECEIVED: Billing & Coding Supervisor

EDUCATION/EXPERIENCE:
1. Certified Professional Coding Certificate.
2. Associates degree preferred or 5 years medical coding experience.
3. Must have functional knowledge of medical terminology anatomy and physiology.
4. Prior experience coding with ICD-10-CM.

KNOWLEDGE:
1. Knowledge of clinic policies and procedures.
2. Knowledge of computer systems programs and spreadsheet applications.
3. Knowledge of medical terminology.
4. Knowledge of collection practices.
5. Knowledge of governmental legal and regulatory provisions related to collection activity.

ESSENTIAL FUNCTIONS:
1. Analyzes accurately outpatient charts records all deficiencies and assigns appropriate responsibility for completion.
2. Develops a system for and performs regular quality control reviews for accuracy.
3. Tracks problems related to record completion and reports these to the Supervisor.
4. Assures that records are available when requested. Controls record completion for medical staff.
5. Assures coding is completed on all patients within two working days of discharge and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable.
6. Completes data entry claim and report generation.
7. Demonstrates a functional knowledge of all departmental operations and relates them to the companys overall objectives.
8. Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores suggests and pursues professional enhancement opportunities for self.
9. Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers patients families payors physicians and their office personnel co-workers and supervisors.
10. Performs other related duties as required necessary for this position or as may be required to meet emergency situations.
11. Assures CPC certification is current.
12. Stays abreast of any changes in guidelines.
13. All other duties as assigned.

SKILLS:
1. Skills in gathering and reporting claim information.
2. Skills in solving utilization problems.
3. Skills in written and verbal communication as well as customer relations.
4. Skills in working with Windows based software systems.

PERFORMANCE EXPECTATIONS:
1. Ability to code medical records with ICD-10-CM.
2. Well developed organizational and communication skills (both written and verbal).
3. Highly professional confident conscientious and cooperative attitude.
4. Must be able to recognize and apply priorities as well as exhibit attention to detail.
5. Excellent communication skills with various internal and external entities.

PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a
normal office environment.

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities knowledge skills abilities and working conditions may
change as needs evolve

Benefits:

• Comprehensive health dental and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!