Company Overview-About Adeptus Health
Adeptus Health is a leading patient-centered healthcare organization expanding access to the highest quality emergency medical care through its network of freestanding emergency rooms and partnerships with premier healthcare providers. All Adeptus Health freestanding facilities are fully equipped emergency rooms with a complete radiology suite of diagnostic technology, on-site laboratory, and staffed with board-certified physicians and emergency trained registered nurses. For the last four years, Adeptus Health has exceeded the 95th percentile in patient satisfaction according to patient feedback collected nationwide by Press Ganey Associates Inc. Adeptus Health also was named a 2016 and 2017 Best Workplaces in Healthcare by Great Place to Work and Fortune Magazine. For more information, please visit adpt.com.
Coders are responsible for the accuracy and timeliness of ensuring that all charges are coded appropriately and submitted for coding. Obtains medical information from facilities when required to code and post the claim(s). This is a non- exempt position.
Job Responsibilities and Duties
Essential Job Functions:
Responsible for coding superbills
Audit charge postings of coded superbills
Assist your team members as needed
Coordinates and participates in coding of pertinent medical information from a variety of complex records and billing edits to include diagnosis, treatment of illness and procedure performed while ensuring accuracy of work adherence to established coding procedure of ICD-10 (International Classification of Diseases) and CPT-4 (Current Procedural Terminology)
Researches and corrects denial claims needing further attention to resubmit as acceptable by the insurance carriers
Ensures each patient is given the highest level of customer service and every staff member is treated with the upmost respect
Communicates effectively, courteous and demonstrates a caring attitude with patients, families, team members and insurance carrier representatives at all times
Provides courteous, knowledgeable and timely service to co-workers
Researches and answers co-worker and/or patient questions and provide follow-up communication in a timely manner
Maintains strict confidentiality in accordance with HIPPA regulations and company policy
Any patient private health information must not be divulged on any account except to the Patient/Guarantor's insurance carrier that needs the information in order to process the claim for payment
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties
Attendance requirements are based on your current role and status of position (FT, PT or PRN). Please direct attendance requirements to your immediate supervisor and/or refer to the Employee Handbook for more attendance/scheduling details/policies
There are no supervisor responsibilities required
Please note this job description is not designed to cover in detail, or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Attention to detail and excellent organizational skills
Customer/ Client focus
Education and Experience: At least 2 years of experience in a medical office CPC, CPC-H, CPC-A or CPC-H-A certified preferred; if not certified, must obtain certification within 12 months of employment Ability to abstract ICD-10-CM and CPTs from medical records required Knowledge in anatomy and medical terminology required Ability to meet and maintain 2.5 minutes per chart with an accuracy of 90% or greater Must incorporate excellent customer service skills in dealing with personnel, physician, peers and clients Must express information in a clear, concise and organized manner Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form Ability to define problems, collect data, establish facts, and draw valid conclusions Must use problem solving process in making business and personnel decisions Proficiency in Microsoft Office Must have excellent interpersonal skills
First Choice Emergency Room