E/M Coder

  • Location Jacksonville, Florida
  • Type Contract
  • Job ID Job #55068

The CSI Companies is actively seeking an E/M Coder for a well-known healthcare provider, one of the Southeast most comprehensive academic health center in the Jacksonville, FL area. This position does require travel between various clinics, however, mileage is reimbursable.

Schedule: Monday through Friday, 8am-5pm  

Pay: Based on experience


Job Description

Review & monitor documentation subsequent to focused compliance reviews. Provide on-site physician feedback for coding/documentation practices. Assist physicians with documentation and billing compliance guidelines.

Essential Functions

  • Ensure that the clinical documentation substantiates the evaluation and management, procedure and modifiers selected in accordance with Federal, State and coding requirements. 
  • Review documentation for accurate coding and charge capture
  • Review records to verify that documentation supports services billed
  • Utilizes advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes
  • Review documentation for compliance and teaching documentation guidelines and specific carrier medical policies. (Medicare, Florida Medicaid, GA Medicaid, Tricare, etc.)
  • Adheres to regulations prohibiting unbundling and other questionable practices
  • Identify opportunities for provider documentation improvement
  • Provide on-site, face to face assistance and support physicians with regard to coding/documentation issues
  • Summarize and analyze charge capture and documentation findings
  • Assist with charge capture and documentation issues
  • Local travel to off-site satellite locations to perform duties
  • Maintain detailed and accurate time records to validate the amount of time spent working on projects for specific departments
  • Assists in training and provides assistance and support to other coders as appropriate
  • Follow up and account for deficient charge tickets returned to physicians
  • Distribute coded charges to billing groups
  • Provide coding assistance to the billing groups (E&M coding, consults, bedside procedures, inpatient services, etc.)
  • Assists in training and provides assistance and support to other coders as appropriate
  • Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation

 Position Requirements:

  • CPC certification required
  • High School Diploma/GED required
  • 3 years medical billing experience and chart extraction required
  • Experience in Medicare and Medicaid payment and reimbursement rules preferred
  • Extensive experience in coding evaluation and management services required
  • Experience in coding surgical procedures preferred