Coder
Coder
Posted on :
03-11-2024
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Posted on :
03-11-2024
Job Description
Job Title: Coder
Location: Remote role
Duration: 6 months with extension
Shift: Standard shift
Job Description:
Summary:
- The Professional Services Coder will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e. to extract data and apply appropriate ICD10CM HCPCS and CPT4 codes for billing review and correct billing edits internal and external reporting research and regulatory compliance) Under the direction of the Coding Leadership Team the successful candidate must be able to accurately code conditions and procedures as documented in the ICD10CM Official Guidelines for Coding and Reporting.
Responsibilities:
- Assigns codes for diagnoses treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD10 codes CPT codes HCPCS codes and modifiers.
- Reviews physician assigned diagnosis code after thorough review of the medical record and if necessary queries physician for additional clarity in a professional manner
- Able to accurately abstract information from the medial records into the abstract system according to established guidelines
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines.
- Enters and validates codes charges and other edits flagged in Athena or EPIC for review
- Review documentation (and returned accounts) to verify and correct the place of service billing and service providers or other missing data elements (i.e.: NDC or number of units)
- Uses CCI edit software to check bundling issues modifier appropriateness and LCDs/NCDs for medical necessity.
- Communication with other departments to recommend coding guidance for charge corrections appeals processes and patient billing concerns.
- Meet and/or exceeds the established coding productivity standards.
- Meet and/or exceed the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards.
Qualifications:
- High School Diploma or GED required CCSP CPC
- Must be able to demonstrate proficiency in professional services (95% accuracy)
- Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (i.e.: Documentation Guidelines 95 & 97)
- Extensive knowledge of government and commercial payer guidelines
- Must be able to use standard office equipment and information systems.
- Ability to interact with other employees through effective communication
- Ability to prioritize and shift workloads to ensure departmental goals align with revenue cycle goals.
Employment Type
Full Time
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