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Job Objective: A brief overview of the position.
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Reviews E&M and simple visit charges submitted by providers in assigned work queue(s) to validate Level of service, place of service, New verses established, and modifier review to ensure valid creation of claim. Reviews and enters manual charges submitted by providers for external services Reviews and resolves simple NCCI, LCD and MUE edits.
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Reports to
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Billing Manager
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Supervises
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None
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Ages of Patients
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None
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: High School Diploma or GED
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Preferred: Currently enrolled in a coding certification program or holding an Apprentice Certificate in coding- CPC or CCS
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Preferred: General College Studies
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Preferred: One year coding certificate or courses in Medical Terminology, Anatomy and Physiology and extensive training or experience in coding
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Licensure/Certification
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Required: Within 18 months complete a coding certification program: CPC-A, CPC, CSC or RHIT
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Experience
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Required: One to Three years of hands on billing/Charge Capture coding or related services
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Essential Responsibilities
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
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Maintains quality of work based on current published standards.
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Reviews documentation and sequences diagnoses and procedures using current coding guidelines for E&M and simple visit encounters.
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Communicates with, certified coders department management and clinic staff to obtain needed documentation to ensure correct billing.
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Completes assigned work queue assignment within departmental guidelines.
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Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient simple visit encounters.
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
