Outpatient Profee

Professional Fee/Profee Coder

Essential Responsibilities:

• Reviews, analyzes and interprets clinical documentation in the Professional side of reimbursement and applying ICD 10 CM and CPT codes in accordance with ICD10 and CPT coding conventions, AHA coding policy & procedures, requirements of Medicare and other payer specifications and official coding guidelines as outlined by governing bodies.
• Assigns correct ASC/APC modifiers to ensure appropriate reimbursement.
• Assigns correct revenue codes for all CPT codes, when applicable.
• Resolves edit accounts, re-classed accounts, and late charges and notifying supervisor of accounts which cannot be resolved in a timely manner through normal coding encounters.
• Ensures all clinical tests performed meet medical necessity according to local and national policies.

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Qualifications: Knowledge, Skills and Abilities:

• Professional Coding Experience in Professional Fee encounters
• Ability to multi-task in a fast-paced working environment.
• Ability to work independently in a production environment
• Ability to build relationships both internally and externally.
• Demonstrated proficiency in Google Workspace
• Demonstrated knowledge of medical codes, coding conventions and rules.
• Demonstrated experience with coding systems.
• Working knowledge of HIPAA Privacy and Security Rules.

Certifications (One of the following Required):

• CCS, CCS-P, COC or CPC
• Any coding certifications from AHIMA and AAPC are accepted

Job Type: Full-time

Pay: Php50, Php70,000.00 per month

Benefits:

• Company events
• Free parking
• Health insurance
• On-site parking
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Work Location: In person