Certified Medical Coder - Barrow Brain and Spine

BARROW BRAIN AND SPINE

JOB DESCRIPTION

MEDICAL CODER

Job Title: Certified Medical Coder

Department: Business Office

Reports To: Coding Manager and Sr. Revenue Cycle Manager

FLSA Status: Hourly

JOB SUMMARY: The Medical Coder is responsible for accurately assigning ICD-10, CPT, and HCPCS codes to hospital consultation services provided by BBS medical providers. This role ensures proper coding of patient encounters to support compliant and efficient reimbursement processes, adhering to payer guidelines and coding standards.

JOB DUTIES & RESPONSIBILITIES:

• Review and analyze medical documentation for hospital consultations and inpatient services.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on the physician's documentation and coding guidelines.
• Consultation Coding: Medical Coder will code initial and follow-up hospital consultations, ensuring accurate coding for the complexity and type of service provided.
• Collaborate with providers to clarify any unclear or incomplete documentation related to consultations.
• Ensure correct usage of modifiers, place of service, and other coding elements specific to hospital consults.
• Enters coded data into the electronic health record (EHR) system.
• Generate reports related to coded hospital consultations for billing, audits, and performance improvement.
• Collaborates and works closely with the respective departments, revenue cycle team, and clinical staff to ensure accurate and timely submission of claims.
• Assists in resolving any discrepancies between clinical documentation and coding standards.
• Conducts periodic medical record audits to ensure documentation is consistent with billing.
• Participates in professional development activities. Attends staff meetings, training sessions and special seminars as required
• Stays current and ensures compliance with coding rules, regulations, and insurance requirements for accurate billing
• Other duties and assignments as assigned

PERFORMANCE REQUIREMENTS:

• Reports to work regularly without undue tardiness
• Maintains positive attitude and demonstrates the utmost in professionalism
• Dresses appropriately and professionally
• Completes work accurately and in a timely manner
• Excellent oral, written & telephone communication skills, along with tact, diplomacy, and strong customer service orientation
• Maintains privacy, confidentiality, and security of patient, client, staff, and organizational data
• Prioritizes work activities and receives and assumes multiple job duties
• Maintains effective working relationships with physicians, administration, BBS staff members, and hospital personnel
• Strong communication skills and ability to explain coding logic
• Confidence to discuss coding issues with clinicians
• Requires flexibility to work occasional evenings or weekends

TYPICAL PHYSICAL DEMANDS:

• Prolonged sitting, standing, some bending, stooping and stretching and/or walking
• Eye-hand coordination and manual dexterity sufficient to operate a computer keyboard, photocopier, fax machine, telephone, calculator, and other office equipment
• Normal range of hearing and vision to record, prepare, and communicate appropriate reports

TYPICAL WORKING CONDITIONS:

• Work is performed in an office environment, with contact with patients, office staff, physicians, etc.
• Overtime as required

EDUCATION & EXPERIENCE:

• Certified Professional Coder with experience in neurosurgical (preferred)
• Three years of Hospital coding (required)
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Excellent attention to detail and strong analytical skills.
• Ability to work independently and as part of a team.
• Strong communication skills to provider interaction and education.
• Experience with Excel and Microsoft Word