The Biller/Coder reviews and analyzes outpatient medical record documentation to determine diagnoses and procedures that account and support the treatment and services performed. Utilizing the International Classifications of Diseases, Ninth Revision (ICD-9), Current Procedural Terminology (CPT), and HCPCS Level II the Coder translates the documented diagnostic and procedural information into coded data in accordance with regulatory agencies and facility specific guidelines.  The Coder enters the coded data and other abstracted data from the medical record into Practice Management system, facilitating the facility department’s charge audit responsibility and coding procedures.  Also completes other duties as assigned.

EXPERIENCE

1.     Experience in coding with ICD-9 and CPT in a healthcare or academic setting required.

2.     One (1) year experience coding and abstracting in an acute care setting preferred.

3.     Use of an encoder software product for code verification; CCI edits, bundling, LMRP.

4.     Basic computer experience required.

5.     Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.

EDUCATION & TRAINING

1.     High School diploma or equivalent.

2.     Current reenrollment or successful completion of college level courses in anatomy, physiology, medical terminology, and coding ICD and CPT required.

3.     Successful completion or current enrollment in a program for certification as a Certified Professional Coder (C.P.C.).

4.     Certification or licensure as a Certified Professional Coder (CPC) preferred.

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Prime Healthcare Home Care and Hospice offers competitive compensation and a reasonable compensation estimate for this role is $21.64. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf