Coder - Reimbursement

Baptist Health Care
United States, Florida, Pensacola
Nov 07, 2024
Job Description The Coder- Reimbursement communicates to department leaders and charge master liaisons the billing regulations, and policies concerning charge master maintenance. This position distributes Medicare bulletins to department leaders and others and assists in carrying out new regulations. This position performs charge audits. This position reviews existing charge master for all facilities in a methodical manner for appropriate standardization. This potion assists department leaders as needed in charge master revision. Responsibilities Receives charge master change requests, and processes them in a timely manner, researching Medicare regulations as needed for compliance. Works with Managed Care Department to facilitate claims being processed when special requirements are needed for clean claims. Participates in annual CPT code evaluation of the charge master as new codes are instituted, making changes as needed to accommodate additions and deletions Reviews existing charge master for all facilities in a methodical manner for appropriate standardization. Assists department managers as needed in charge master revision. Reviews pricing of procedures, and of supplies according to the mark-up formula of each Baptist Institution. Works with managed care department to facilitate claims being processed when special requirements are needed for clean claims. Interprets coding and documentation as it pertains to audit function. Qualifications Minimum Education High School Diploma or Equivalent Required Minimum Work Experience 2 years experience in hospital/medical billing, coding, auditing Required Required Skills, Knowledge and Abilities Excellent written and oral communication skills. Ability to interpret ad communicate CPT descriptions, Medicare regulations, etc., and apply these to charge master requests. Computer skills to manage charge master changes and generate reports as needed. Precise attention to detail. Ability to interpret coding and documentation as it pertains to audit function. About Us Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.