Emory Healthcare/Emory University Coder I, Professional Services in Atlanta, Georgia
This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding.
FRONT END CODER: This position is accountable for the performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department.
Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture, management of patient financial information (registration/insurance, referrals, pre-certs, etc.), and collection of patient service revenue.
This position reports to the Supervisor or Manager, Revenue Cycle Operations. Employee may be responsible for other duties as assigned.
CODING DENIALS SPECIALIST: The primary focus of this position will be to review and resolve all daily coding related denials based on coding/billing guidelines.
The job role is accountable for edit maintenance and resolution, denial resolution, charge correction and special projects in order to optimize the revenue collections for the Department.
Research and resolve all outstanding coding related denials with work queues/coding specialties and complete all necessary follow-up within a timely and accurate manner.
The job role is responsible for communicating all denial trends and denial increases directly to supervisor/manager in order to positively affect the volume of denials.
This position reports to the Supervisor or Manager, Coding Denials Management.
Employee may be responsible for other duties as assigned.
High school diploma or equivalent;
One (1) year of experience in healthcare related field; OR 6 months of professional coding experience;
Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CPC-A, CPC, or CCA, CCS, CCS-P, RHIT;
GE Centricity experience preferred;
Working knowledge of medical terminology, anatomy, and physiology; ability to read, analyze, and interpret general business periodicals, technical procedures, or governmental regulation;
Must be able to write business correspondences effectively and professionally, and must be capable of presenting verbal information and respond to questions from groups of managers, clients, customers (physicians) and the general public.
PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
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Division Emory Healthcare Inc.
Campus Location Atlanta, GA, 30345
Campus Location US-GA-Atlanta
Department EHI PFS Denials Unit
Job Type Regular Full-Time
Job Number 102386
Job Category Revenue Cycle & Managed Care
Standard Hours 40 Hours
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
Emory Healthcare/Emory University
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