Professional Fee Coder II
Apply NowLocation:
PALO ALTO, CA, US
Company:
Lucile Packard Children’s Hospital Stanford offers advanced healthcare combined with family-centered care for children and young adults.
Summary:
As a Professional Fee Coder, the applicant will manage the coding of charges, ensuring accuracy and compliance. The role requires an Associate’s degree and two years of relevant experience.
Requirements:
Hard Skills: CPT-4 coding, ICD-9-CM coding, HCPCS coding
Credentials: Associate's degree
Experience: Two (2) years of progressively responsible and directly related work experience
Job Description:
Job Description
JOB SUMMARY
This paragraph summarizes the general nature, level and purpose of the job.
The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded charges. Applies the appropriate diagnoses, surgical and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. Resolves pre-bill edits and appropriate follow-up. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions. Receives no instructions on routine work and general instructions on new assignments.
ESSENTIAL FUNCTIONS
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
* Adheres to official coding guidelines.
* Applies CPT-4, ICD-9-CM, HCPCS and modifiers following coding guidelines.
* Code all documented professional services and submit for billing.
* Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
* Ensures all services are accounted for and billed.
* Keeps abreast of coding guidelines and reimbursement reporting requirements.
* Provides feedback to physicians related to documentation issues and/or revenue opportunities.
* Queries physicians when code assignments are not straightforward or documentation in the record in inadequate, ambiguous, or unclear for coding purposes.
* Utilize appropriate methods to ensure all documented professional services are submitted timely.
* Utilizes correct coding practices to file clean claims aiding in improved cash flow.
