The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.

Responsibilities

Essential Duties and Responsibilities:

Include the following. Others may be assigned.

Performs all assigned billing in a timely manner
Communicates with the physician the documentation needed to complete job functions
Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code
Updates patient record with patient’s current insurance, address and telephone numbers
Identifies primary care doctor and referral source with contact information and documents it in the medical record
Performs claims follow up and reviews with billing agent in a timely
manner
Protects patient confidentiality according to HIPAA guidelines
Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines
Identifies and attends one course/conference per specialty, per year to continue education in the coding field

Qualifications

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform

the job.

AA Degree required
Bachelors Degree preferred
5 years coding experience required
Healthcare background is required
CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required
Coding scheme and reimbursement practices required
RHIA, RHIT, CCS, CPC or COC certification is required
Office, and Excel required
Willingness to be flexible and adaptable in a complex, matrix environment

#LI-JK1

Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off
Career development and continuing education opportunities
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

The mission of the Paley Orthopedic & Spine Institute is to provide some of the most technologically advanced treatments to improve the lives of those who suffer from congenital, developmental and post-traumatic orthopedic conditions. Serving children and adults from the local community, the United States and the world, the Paley Orthopedic & Spine Institute offers comprehensive, coordinated care from an experienced team of professionalsdesigned for the specific needs of each patient. At the Paley Orthopedic & Spine Institute, our treatment philosophy focuses on reconstruction over amputation and a commitment to preserving limbs and joints and restoring function.

Learn more about this Employer on their Career Site