Closed Position

Summary of Position:

Reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.  Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS and CPT codes.

Duties and Responsibilities:
  • Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.

  • Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.

  • Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.

  • Receives and reviews hospital and clinic information to properly bill provider services.

  • Contacts providers to train and update them with correct coding information.

  • Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code

  • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.

  • Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.

  • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.

  • Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies.

  • Performs other related duties, which may be inclusive, but not listed in the job description.

General Skills/Requirements
  • Perform coding work requiring independent judgment with speed and accuracy.

  • Communicating clearly and concisely, orally and in writing.

  • Demonstrates excellent organization, communication and customer service skills.

  • Confidentiality

  • Ability to work independently to accomplish assigned work in a timely manner

  • Ability to communicate with staff and the public, both in person and over the telephone, in a tactful manner and under difficult situations

  • Understanding and carrying out verbal and written directions

  • Excellent interpersonal skills

  • Computer skills

Education/Experience
  • High School diploma or equivalent

  • Certified Medical Coder preferred

If you are interested in this position, please fill out the application here and mail, fax, or email it to the Human Resources department.

To mail:

1100 Meade St

Dunmore, PA 18512

To fax:

570.342.3316

To email:

careers@cancercarenepa.com

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, genetic information, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the Human Resources department.

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1100 Meade Street Dunmore, PA 18512

Fax: 570.342.3316

© 2018 by Hematology & Oncology Associates of NEPA, PC