Biller-Coder I

Greater Baltimore Medical Center (GBMC)
United States, Maryland, Hunt Valley
Jun 12, 2025
Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately verify the physician chosen CPT and ICD-10-CM have been assigned appropriately and apply corrections, as necessary. Performs direct charge entry into the Medical Billing System. Education Specialized training in coding/abstracting procedures, human anatomy and physiology and medical terminology obtained through seminars and or college courses. Experience No prior experience required. 1 year of CPT and ICD-10-CM coding experience with certification, preferred. 1 year of direct billing experience in a healthcare or insurance environment, preferred. Other combinations of formal education, training and experience may be considered. Skills Knowledge of medical terminology and human anatomy and physiology. Proficiency in CPT and ICD-10-CM Coding including knowledge of coding guidelines as set forth by Official Coding Guidelines and ability to keep current with recent trends within the industry. Ability to interpret medical terminology and decipher physicians' handwriting in order to code records utilizing CPT and ICD-10-CM systems. Ability to accurately manage EMR billing module maintaining department standards of productivity. Skill in using computers and applicable software programs Skill in written and oral communications Skill in performing arithmetic calculations Licensures, Certifications Active CPC-A, CPC, or CCS certification required. Additional coding certifications applicable to physician practice billing preferred Physical Requirements Ability to concentrate and pay close attention to detail. Ability to sit for long periods of time. Working Conditions Normal office work environment. Principal Duties and Responsibilities Collects accurate data and reports clinical and demographic information to ensure the integrity of data use throughout the institution. Retrieves, reviews, and verifies information necessary for accurate coding, utilizing the appropriate information system effectively to validate or assign appropriate diagnoses and procedure codes for timely billing. Contacts billing providers to obtain clarification of diagnoses and/or procedure codes when necessary. Creates and submits clean claims for billing by reviewing and correcting claim errors in accordance with established policies and procedures. Relays information to the Biller/Coder Manager that may affect procedures relating to billing, coding, or documentation integrity. Maintains established productivity and quality standards for all patient types. Maintains productivity standards: - 3 charts per hour - hospital inpatient/observation/ER5 charts per hour - home/residence - 10 charts per hour - nursing facility, office Maintains a data quality standard: - Minimum 85% accuracy across all visit types Performs all other duties as assigned. All roles must demonstrate GBMC Values GBMC Values Value Description Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $21.27 - $36.00 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.