Certified Medical Coder
Certified Medical Coder
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Job Description
The qualified candidate will have two years experience and expertise in surgery medical coding guidelines and medical billing processes with proficiency in Epic and a CPC certification.
RESPONSIBILITIES:
Coding & Billing: Review and adjudicate coding of services from documentation in a timely manner.
Procedure Coding: Code physician/provider visit procedure notes to identify appropriate ICD10 and CPT4 codes for charge processing.
Code Optimization: Ensure that all diagnosis ICD10 codes and procedure CPT HCPCS codes are identified sequenced and coded accurately and ethically for optimized reimbursement.
E&M Coding: Assign Evaluation and Management codes based on key documented concepts/elements adhering to defined coding guidelines.
Research: Identify correct codes for routine new or unusual diagnoses and procedures not clearly listed in ICD10 and CPT guidelines.
Modifier Identification: Identify procedures requiring modifiers (including 340B) for billing and reporting.
Clinical Data Consultation: Consult with physicians and providers for clarification of clinical data when encountering conflicting or ambiguous information and/or significant missing documentation.
Documentation Tracking: Track cases with insufficient documentation to ensure they become appropriately coded and billed.
Policy Adherence: Ensure documentation adheres to Federal State and County billing policies.
SKILLS & QUALIFICATIONS:
Minimum 2 years of experience in medical coding.
High school diploma or equivalent required.
Current CPC certification through AAPC or AHIMA required.
Surgery billing experience is required.
Comprehensive knowledge and understanding of medical coding including insurance payor guidelines ICD1O CPT Billing and E/M coding.
Ability to analyze medical records in an Electronic Health Record system to identify documentation deficiencies and verify documentation supports diagnoses procedures and treatments.
Employment Type
Contract
