Pro-Fee Coder
Pro-Fee Coder
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Salary Not Disclosed
1 Vacancy
Job Description
Conducts necessary audits of medical record to verify that providers have appropriately documented chronic medical conditions then code these in ICD10 to capture HCCs and improve the organizations Medicare Risk Adjustments score. Evaluate medical record documentation (outpatient/inpatient) from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past. This process involves a very strong understanding of medical coding and excellent communication skills.
Excellence in Practice:
- Abstracts pertinent information from patient medical records assigning appropriate ICD10CM codes creating HCC assignments as applicable.
- Check chart assignments every day and report accurately all hours worked on a weekly basis.
- Remain current on medical coding guidelines and reimbursement reporting requirements.
- Queries when documentation in record is inadequate ambiguous or otherwise unclear for medical coding purposes.
- Provide Education Provide detailed summary to make adjustments to correct improperly paid claims and document the correct coding to be utilized.
- Prepare management summary report of audit findings.
- Comply with the Standards of Ethical Coding as set forth by the AHIMA (American Health Information Management Association) and adhere to official coding guidelines.
- Comply with HIPAA laws and regulations.
Education: Twoyear health information technician. The physician coder must possess a thorough working knowledge of current nomenclature coding systems i.e. ICD10 and CPT
Experience: A minimum of three to five years of experience in a clinical setting.
License Requirements: RHIT CCS CCSP and/ or CPC are required
Required Experience:
Manager
Employment Type
Part-Time
