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Responsible for the validation and/or abstraction coding of routine office to off-premise patient visits, including inpatient and outpatient procedures for all billable clinicians, ensuring that claims are submitted to insurance payers in the most compliant, efficient and expeditious manner possible. This position is accountable for accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data.
Job Responsibility:
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
Adheres to the organization and departmental guidelines, policies and protocols
Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes
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 and adheres to official coding guidelines
Maintains the confidentiality of patient records
Meets then exceeds departmental quality and productivity standards
Recommend modifications to current policies and procedures as needed to coincide with government regulations
Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable
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
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