Determines time units, total units, and proper use of modifiers commonly used in anesthesia and surgical coding cases based on patient record documentation.
Understands, retains, and researches coding and billing rules, regulations, and requirements, including reasons for actions on edits.
Critically reviews all information to recognize errors or problems in coding, and runs concurrency reports for anesthesia time discrepancies, escalating complex overlaps.
Maintains assigned work queues and coding assignments within defined processing timeframes, submitting appropriate queries to providers for clarification when needed.
Follows established protocols to promote departmental efficiencies and timely filing of claims, possessing advanced knowledge of anatomy, physiology, terminology, and coding guidelines.
Other related research and reviews as assigned
Job Rquirements
High School Diploma/G.E.D.
A minimum of three (3) years of recent experience in anesthesia and pain coding
Knowledge of anesthesia coding and elements related to anesthesia claims, such as units of time and anesthesia modifiers
Understand rules and regulations governing Medicare billing of anesthesia and pain services
Knowledge of NCCI, ICD10CM, CPT, and modifiers pertaining to anesthesia and pain services
Demonstrate knowledge of medical terminology and anatomy and physiology
Epic experience
CPC or CCS or CCSP upon hire, Source: AAPC/AHIMA
Certified Anesthesia and Pain Management Coder (CANPC) certification Preferred
Location & commitments
Full-time role based at our Greenville Arlington Blvd. location, Monday-Friday, 8a.m. – 5 p.m.
Overtime may be required to ensure patients are taken care, tasks are completed, and calls are returned in a timely manner.
Affirmative Action/EEO statement
Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at 252-413-6368 or email careers@physicianseast.com
Disclaimer
Please note this job description is not designed to cover 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.
