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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 to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
Adheres to organizational and departmental guidelines, policies and protocols
Reviews clinician documentation to support assigned codes
Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends
Abides by the Standards of Ethical Coding
Maintains the confidentiality of patient records
Meets then exceeds departmental quality and productivity standards
Recommend modifications to current policies and procedures
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
Advanced knowledge of ICD, CPT and HCPCS coding guidelines
Advanced knowledge of medical terminology, anatomy and physiology
Intermediate computer skills including Microsoft office products, electronic mail
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
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 (medical, dental, vision, life, Short- and Long-Term Disability)
Flexible Spending Accounts
Family benefits (adoption assistance, paid parental leave)
Defined contribution retirement plans with employer match
Educational Assistance Program
Premium pay such as shift, on call
Incentive pay for select positions
Opportunity for annual increases based on performance