Job Purpose:
The Coder is responsible for charge entry, patient visit reconciliation, and coding patient accounts using diagnosis codes, ICD-10 codes, and HCPCS specific to Radiation Oncology. This position is a department-specific extension of the A/R Collection/Coding team and reports directly to the Chief Therapist in Radiation Oncology. This position requires a commitment “…to deliver superior coding to the patients, physicians, and staff members that we serve.”
Job Duties & Responsibilities:
· Data Entry: Enter CPT & Procedure Codes as specified on charge sheets and electronic billing
· Resolve pre/post billed coding denials; analyze and complete scrubber edits
· Resolve un-reconciled visits by obtaining necessary information for charge entry and coding
· Stay current on coding education and regulations to ensure accurate coding work is performed
· Identify trends and root causes and suggest process changes to prevent continued problems
Performance Measures:
Qualitative:
· Demonstrate values of integrity, teamwork, dedication, quality, decision making, communication, and creative thinking (see performance review sheet for definitions)
· Demonstrate initiative, respect, competency, financial responsibility, accountability, quality improvement, cooperation, problem solving, decision making, planning & organizing, and communication.
Quantitative:
· Assists in coding services within department defined time frames
· Code all other types of charges within 2 days of receipt
· Resolve all missed billings
· Analyzes and completes scrubber edits within 2 days of charge entry
· Resolves bundling denials and medical necessity edits within 1 week
Qualifications:
Required:
· High School Diploma/GED
· 3+ years of Radiation Oncology coding experience.
· Critical thinking skills, problems solving skills, follow-through skills, and the ability to see “the big picture”
· Ability to work well on a team and as an individual
· Understand coding terminology and uses; CPT, ICD-10, basic modifiers, etc.
Preferred:
· Coding certification
· Intermediate level experience using MS Office, particularly Excel
· Understand of Medicare, Medicaid and patient privacy laws