JOB DESCRIPTION: The primary focus of this position will be Outpatient Surgery, Ancillary Diagnostic, and Advanced Medicine/Ancillary Services. The job role is accountable for the performance of charge capture responsibilities including reviewing physician documentation, CPT 10 & ICD9-CM coding, TES edit maintenance and resolution, Denial resolution, and special projects in order to optimize the revenue collections for the Department. Revenue Cycle responsibilities encompass influence and direct daily functions that contribute to service capture, charge capture, management of patient financial information (registration/insurance, referrals, pre-certs, etc.), and collection of patient service revenue (TES and Denials management, payment variance, revenue performance tracking). This position reports to the Supervisor or Manager, Revenue Cycle Operations.
MINIMUM QUALIFICATIONS: High school diploma or equivalent. Coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H. Two years of professional coding experience in CPT4, ICD9, and understanding of ICD10-CM. Completion of the internal CDP program is preferred. Working knowledge of medical terminology, anatomy, and physiology. IDX/GE Centricity experience preferred. Knowledge of modifiers and appropriate application. Ability to translate operative notes into billable services. Working knowledge of billing regulations, insurance coverage limitations, and managed care. Positions in Outpatient Surgery/Ancillary Diagnostics will additionally require: Introduction to research, Medicare guidelines and billing requirements, medical devices, Professional Medical Society websites, and NCCI edit conventions, and 1 year of the two years experience required must be in a surgical/Ancillary Diagnostic discipline or have a coding certification in a surgical/Ancillary Diagnostic discipline. Successful completion of the AAPC ICD-10 Proficiency Assessment. The Emory ICD-10 Exam will need to be completed after hire and additional training. This component should be completed within the first ninety (90) days of employment. Non-compliance will be grounds for voluntary separation from Emory Clinic.
PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.