The PFS Medical Coder is responsible for transforming healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. This role assigns and verifies the correct codes to describe the services patients received and supports the medical billing process by reviewing documentation, assigning appropriate codes, and creating claims for insurance carriers.
Coders work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the communities served.
Assign diagnosis and procedure codes using ICD-10, CPT, and HCPS codes.
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Knowledge and understanding of how to properly code using medical coding books.
Follow up with providers when documentation is insufficient or unclear.
Ensure all codes are current and active.
Provide timely follow-up on denials and rejections.
Respond to coding questions and provide clarification to colleagues.
Maintain appropriate communication with clinics.
Refer non-routine issues to management for clarification.
Re-code and reprocess denials and rejections to resolve issues with insurance payers.
Work professionally, courteously, and respectfully with fellow staff.
Monitor CPT and diagnosis coding accuracy prior to billing.
Perform other duties assigned by the Director of PFS or Executive Director of Revenue Cycle.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago