Physician Billing Coder I

FTE: 1.0

Flex Schedule between the hours of 6:00 am to 5:00 pm

Remote- Authorized Remote work states - FL, GA, MO, PA, NC, SC, TN and TX

Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, following all compliance policies and guidelines. This role is responsible for accurately coding office and hospital procedures to ensure proper reimbursement. The Coder also ensures the proper completion of electronic health records, including the assignment of ICD, CDM, HCPCS, and CPT codes.

Key Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture as documented by physicians or other healthcare providers
• Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS codes for insurance billing
• Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations
• Communicate with Special Billers and Charge Follow-up Coordinators to address insurance billing questions
• Review and correct charge review edits as necessary
• Review records to ensure proper submission of services prior to billing on selected charges
• Maintain compliance standards according to internal policies and report compliance issues appropriately
• Work collaboratively with other clinical areas and staff
• Perform coding work requiring independent judgment, ensuring timeliness and accuracy

E

Qualifications:

Experience Requirements:

• Minimum of 3 years of medical billing experience preferred
• Extensive experience in physician coding preferred
• EPIC experience preferred

Education:

• High School Diploma (required)

Certification/Licensure:

• Certified Professional Coder (CPC) (required)

Additional Duties:

• Perform all other duties as assigned

Equal Employment Opportunity:

• UFJPI is an Equal Opportunity Employer and maintains a Drug-Free Workplace