Job Description

PURPOSE:

To perform the successful and timely completion of all business and financial functions within the parameters established by Southern NP Associates, LLC guidelines, state and federal regulations, and as needed to achieve the financial goals of the facility. Promote an environment that provides optimal efficiencies and superior quality of the business office.

QUALIFICATIONS

1. Associate’s Degree in Medical coding or successful completion of a certification program with successful completion of the Coding Examination.
2. Strong knowledge of anatomy, physiology and medical terminology.
3. Superior mathematical skills.
4. Experience with ICD-10 coding and CPT procedure coding.
5. Healthcare billing and collection experience a plus.
6. Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment.
7. Strong analytical skills; ability to quickly identify problems and find effective solutions.
8. Strong written and oral communication skills.
9. Ability to work and produce results under pressure.
10. Ability to effectively and harmoniously interact with facility, group, and corporate management and other employees at all levels; promotes teamwork and demonstrates strong leadership skills and professionalism.
11. Knowledge of insurance agency reimbursement programs.
12. Must be capable of maintaining regular attendance.
13. Must be dependable and able to work with minimal supervision.
14. Must have knowledge of office machines and equipment.
15. Computer Skills (Microsoft Office Suite, Outlook, Excel, etc)
16. High school diploma or equivalent.
17. Must be at least 18 years of age.
18. Must be able to speak, read, write, and understand English.
19. Must be capable of performing the ESSENTIAL JOB FUNCTIONS and PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONS as outlined below.

STANDARD REQUIREMENTS

1. Support the Mission, Values, and Vision of Southern NP Associates, LLC and the facility.
2. Knowledgeable of resident rights when it comes to billing and ensure an atmosphere which allows for the privacy, dignity, and well-being of all residents in a safe and secure environment.
3. Relate to management immediately of all instances of improper charting/coding of Nurse Practitioners and Physician Assistants.
4. Support, cooperate with, and implement specific procedures and programs for:
5. Maintain confidentiality of all data, including resident, employee, and operations data.
6. Comply with all Quality Assurance, code of conduct, and regulatory requirements.
7. Comply with current law and policy to provide a work environment free from harassment, and all illegal and discriminatory behavior.
8. Support and participate in common teamwork:
9. Cooperate and work together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgment.
10. Use tactful, appropriate communications in sensitive and emotional situations.
11. Complete requirements for in-service training, acceptable attendance, uniform and dress codes including personal hygiene, and other work duties as assigned.

ESSENTIAL JOB FUNCTIONS

1. ADMINISTRATIVE FUNCTIONS
2. Accepts ownership and accountability for the successful completion of all coding and business office functions as assigned and achievement of goals.
3. Strives for compliance by all business office staff with internal controls and state and federal regulations.
4. Responsibilities for Medical Coder: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
5. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
6. Follow up with the provider on any documentation that is insufficient or unclear
7. Communicate with other clinical staff regarding documentation
8. Search for information in cases where the coding is complex or unusual
9. Receive and review patient charts and documents for accuracy
10. Review all of the patient notes for evaluation and coding
11. Ensure that all codes are current and active
12. Participates in periodic meetings and training workshops as assigned.
13. Keeps abreast of current state, federal and company policies, procedures and regulations.
14. Keeps abreast of changes in billing guidelines for Medicare, Medicaid, HMO’s, PPO’s and reports them to the Practice

OTHER JOB FUNCTIONS

1. Performs all other duties as assigned by Office Manager.

PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONS

1. Mobility within work environment necessary to perform job duties.
2. Ability to lift, carry, push, bend, reach, grasp, perform fine manipulations, etc., necessary to perform job duties.
3. Ability to remain calm under stress.
4. Ability to communicate with residents, families, personnel and support agencies.
5. Ability to evaluate and interpret information.
6. Ability to make independent decisions.
7. Ability to understand and interpret financial data.
8. Obtain Covid Vaccination or Medical/Religious Exemtion required.

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