Open position

• Provides review and/or coding of any professional services including but not limited to surgeries, encounters, and diagnostic services for appropriate use of CPT, ICD-9, ICD-10,  HCPCS, and Modifier usage/linkage as well as provide ICD-9 coding where needed for handwritten/missing diagnoses.  
• Provides same for areas where workfiles are used.  In areas where paper is used, reconcile daily charges against log (if available/applicable) to ensure daily capture of coding charges expected.  Productivity and accuracy for workfile and non-workfile standards must be met according to guidelines set by manager.
• Review and assist in updates of coding dictionaries/encounter forms/charge slips as needed for accuracy of CPT, HCPCS and ICD-9 & ICD-10 Coding.  
• Periodic review of codes, at least annually or as introduced or require for new, revised, or deleted code updates.
• Answers and responds accurately and timely to questions on the telephone, voice mail, e-mail,  Coding Hotline and/or Coding Website as appropriate.
• Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding  corrections via paper or electronic submission to the PFS Department.
• Reports regularly on daily activity, productivity, and findings of reviews/rejections/education via electronic file or database, e-mail, paper, or other means as required by manager.

2. Physician/Provider Education:

• Confers regularly with physicians/care providers, clinical or ancillary managers, coders, or other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication to respond to and educate providers on  specific departmental and clinic wide coding issues and updates including but not limited to the coding hotline and/or the coding website. 
• Participates in new physician/care provider orientation as well as provide follow-up reviews and education for the new physician/care provider if applicable for the area of responsibility.
• Provides feedback, recommendations, and participates as the coding representative for the Professional Coding Department on the Revenue Cycle Teams as requested by manager.
• Develops and conducts a schedule of physician/care provider documentation reviews in areas where applicable and/or as defined by manager.  
• Provides feedback to the physician/care provider, Department Chair, and/or Administration as required. 
• Documentation review is ongoing and feedback will be provided to the physician/care provider, Department Chair, and/or Administration as required.

• Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD’s), or Local Medical Review Policies (LMRP's)  to ensure compliance with coding guidelines.
• Communicates new guidelines to providers through physician/care provider and/or departmental meetings.  
• Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters.  
• Makes guidelines available via, paper, on-line access, web access, or any other means provided by manager.

• Maintains strict compliance with BILH Confidentiality Policy
• Incorporates ​BILH Guiding Principles,​Mission Statement and Goals into daily activities.  
• Complies with all BILH Policies.
• Complies with behavioral expectations of the department and BILH.
• Maintains courteous and effective interactions with colleagues and patients.
• Demonstrates an understanding of the job description, performance expectations, and competency assessment.
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participates in departmental and/or interdepartmental quality improvement activities.
• Participates in and successfully completes Mandatory Education.
• Maintains minimum certification requirements for coding.
• Performs all other duties as needed or directed to meet the needs of the department.