SUMMARYResolves complex coding scenarios. Provides feedback and documentation advice to the physician and practice management. Works with AR to resolve coding related denials. Serves as liaison between the practice and Physician Network Services and/or other departmentsSPECIFIC DUTIES MAY INCLUDE:
Reviews and codes complex operative procedures for all service lines
Assist and direct specialty practices or other appropriate staff in surgical documentation, billing, coding, and reimbursement issues
Assists in the auditing of all service lines
Work in conjunction with billing staff on follow up and resolution of coding related denials and rejections
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials
QUALIFICATIONS
Minimum education: must be high school graduate or GED required
Certified professional coder (CPC) certification required
2 years CPT, HCPCS and ICD-10-CM coding experience preferred
Use of typing, computer and other office skills in everyday job performance, one to two years previous experience in computer billing, filing, typing, etc.
Reimbursement of third party carriers and other insurance knowledge preferred
Additional Info:About AnMedFounded in 1908, AnMed is an independent, not-for-profit health system serving Upstate South Carolina and northeast Georgia. It is licensed for 648 beds and anchored by AnMed Medical Center, a 495-bed acute-care hospital that’s earned the prestigious Magnet designation from the American Nurses Credentialing Center since 2012. Also included are a heart and vascular center, a maternity center and a comprehensive cancer center located in Anderson. The AnMed Piedmont campus opening in 2025 is among new locations for the growing system. AnMed Rehabilitation Hospital, AnMed Cannon in Pickens and more than 60 physician practices are also among service sites spread from Easley to Hartwell, Georgia. The system has 620 physicians on medical staff and about 3,600 employees. It is Anderson County’s largest private employer. Guided by core values of compassion, integrity, accountability, innovation and collaboration, AnMed was named one of the nation’s “Great Community Hospitals” by Becker’s Hospital Review. It is one of three systems in the nation to earn the 2024 Carolyn Boone Lewis Equity of Care Award from the American Hospital Association. Learn more at AnMed.org.
