Pickerington, OH 43147
1. Reviewing medical procedures as documents by doctors or other healthcare staff
2. Translating medical procedures into codes that can be translated by payers, other medical coders and other medical facilities
3. Transmitting coded patient treatment information to payers and other recipients
4. Coordinating insurance reimbursement of care providers
5. Handling patient billing
6. In some facilities these duties are split into two individual job descriptions handled by two individuals
1. Minimum one year work experience preferably in a physician s office or health care environment.
2. Successfully complete appropriate competency testing at 80%. This includes typing and/or data entry evaluations
3. Must complete appropriate skills assessment.
4. High School diploma or GED
5. Formal training in ICD-9 and CPT coding or working knowledge of ICD-9 and CPT coding principles is preferred
In facilities where medical billing and coding job duties are split between two individuals the medical coder job description is more concerned with translating patient conditions and doctors medical treatments into universal medical codes for translation by carious parties.
Medical Coder is responsible for job duties such as:
1. Reviewing patient medical records
2. Coding treatment information using Common Procedure Terminology (CPT) codes
3. Communicating with medical billing specialists to ensure treatment codes are accurately received
When medical billing and doing duties are split, medical billing job duties consist of using CPT codes to assemble and coordinate reimbursement claims for third party payers. Medical Billers interact with insurance companies and with patients to ensure accurate, streamlined billing and payment.
Medical Billers are responsible for job duties such as:
1. Receiving patient treatment codes to use in assembling reimbursement claims
2. Creating reimbursement claims and transfer to third party payers
3. Coordinating reimbursement activities with payers
4. Billing patients for medical services
ENVIRONMENTAL CONDITIONS AND PHYSICAL REQUIREMENTS
1. Physical ability to see clearly with corrective lenses.
2. Ability to communicate clearly with professional and non professional staff, patients and families.
3. Using a computer and other automated equipment.
4. Will work in a temperature controlled environment.
5. Sitting in a standard office chair for most of work.
Bending, standing and stooping to access filing cabinets and overhead