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Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
Job Responsibility:
Reviews medical documentation to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations
Adheres to the organization and departmental guidelines, policies and protocols
Reviews all clinician documentation to support assigned codes in the health information record
Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association
Maintains the confidentiality of patient records
Meets then exceeds departmental quality and productivity standards
Recommend modifications to current policies and procedures as needed
Responsible for processing Coding Claim Denials and Coding Claim Rejections
Requirements:
Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
Advanced training beyond High School in Medical Coding or related field
Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows
Advanced knowledge of ICD, CPT and HCPCS coding guidelines
Advanced knowledge of medical terminology, anatomy and physiology
Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
Advanced communication (oral and written) and interpersonal skills
Advanced organization, prioritization, and reading comprehension skills
Advanced analytical skills, with a high attention to detail
Ability to work independently and exercise independent judgment and decision making
Ability to meet deadlines while working in a fast-paced environment
Ability to take initiative and work collaboratively with others
Nice to have:
Hematology Oncology experience in this specialty
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more
Incentive pay for select positions
Opportunity for annual increases based on performance