MedStar Health
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About this Job:
This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period. Hybrid schedule includes working remotely from home on Mondays & Fridays and working on-site Tuesday – Thursday. Business office is located in Columbia, Maryland.
General Summary of Position
Under the supervision of the Reimbursement Manager codes and abstracts MedSTAR Transport services using CPT, ICD-10-CM, HCPCS and other applicable patient classification schemes. This role is a vital position in the revenue cycle process for MedSTAR Transport services.
Primary Duties and Responsibilities
* Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
* Abstracts and ensures accuracy of diagnoses billable services patient demographics and other required data elements.
* Adheres to all compliance regulations and maintains annual compliance education.
* Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
* Contacts ordering physician or transport team when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
* Performs timely and accurate charge entry into billing system. Reconciles charges and performs batch processing. Submits claims and works rejects for claims submission.
* Meets established Quality and Productivity standards as defined by policies.
* Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
* Reviews medical record documentation to identify diagnoses and billable services. Assigns correct diagnostic, HCPCS and appropriate modifiers using standard guidelines and maintaining departmental accuracy standards.
* Exhibits knowledge of other work-related equipment.
* Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
* Participates in multi-disciplinary quality and service improvement teams.
Minimal Qualifications
Education
* High School Diploma or GED required
* Associate’s or Bachelor’s degree preferred and
* Medical Coding Certification with successful completion of medical terminology anatomy physiology and coding courses in ICD-10-CM HCPCS and CPT-4 required
* One year of relevant education may be substituted for one year of required work experience.
Experience
* 1-2 years Coding experience and experience with clinical information systems (3M grouper electronic medical records computer assisted coding) preferred
Licenses and Certifications
* Certified Professional Coder (CPC) Certified Professional Coder (CPC) required
* Certified Ambulance Coder (CAC) within 1 Year required
* Certified Ambulance Compliance Officer (CACO) within 1 Year required
Knowledge Skills and Abilities
* Verbal and written communication skills.
* Basic computer skills required.
This position has a hiring range of : USD $23.65 – USD $42.03 /Hr.
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