Outpatient/Provider Coder III

Responsibilities:

• Performs the final reconciliation on clinic or provider visits and resolves missing, incomplete, or inconsistent documentation by contacting appropriate personnel.
• Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
• Interacts with and serves as a resource to coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.

Skills/Abilities:

• Demonstrated potential ability to perform the essential functions as outlined above.
• Demonstrated leadership, human relations and effective communication skills.
• Demonstrated knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.

Qualifications:

• American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) recognized certification.
• Three years of coding, clinical or billing experience.
• Ability to effectively train others.