Professional Fee Abstractor

Pensacola, FL - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Description

Nemours Childrens Health is seeking a remote Professional Fee Abstractor.

Assesses each professional session (i.e. claim) for all documented conditions and application of M.E.A.T. criteria (i.e. monitoring evaluation assessment treatment) to accurately apply ICD 10 CM codes to capture diagnoses evaluation & management CPT codes procedure codes HCPCS codes and modifier application per payer specific guidelines.

This is a remote position.

Applicants must reside in one of the following states: Alabama Colorado Delaware the District of Columbia Florida Georgia Illinois Maryland Missouri New Jersey New York North Carolina Ohio Pennsylvania South Carolina Tennessee Texas and Virginia.

Essential Functions:

Ability to comprehend medical record documentation to assign codes for each active session in multiple specialties. (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider)
Codes a minimum of 60-100 sessions per shift. The number of lines per session varies therefore Coding Required sessions are completed daily.
Works collaboratively in a team setting with providers allied health staff business office staff throughout the enterprise to achieve accurately coded 1500 claims.
Analyzes high-risk encounters for accurate charge capture and makes recommendation before transferring to second level review work queues.
Facilitates modifications to clinical documentation to ensure that information captured supports the level of service rendered with attention towards chronic conditions hierarchical condition categories (HCC) and risk adjustment factors (RAF).
Understands complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce take backs associated with un-clear nonspecific or un-substantiated care rendered.
Crossover coding is expected to help in any and all professional sessions (as assigned) using written reliable methods which identifies standard work requirements by session type.
Communicates with providers directly for clarification or gaps in documentation prior to submitting the session to assign the code(s) which fit services rendered.
Maintains production and accuracy objectives (i.e. metrics) identified annually.

Qualifications:

CPC CCS-P RHIA or RHIT required. CRC CEMC preferred
3-5 years coding experience
Medical Terminology and Anatomy and Physiology preferred
High School Diploma Required. Associates preferred

Required Experience:

Unclear Seniority

DescriptionNemours Childrens Health is seeking a remote Professional Fee Abstractor.Assesses each professional session (i.e. claim) for all documented conditions and application of M.E.A.T. criteria (i.e. monitoring evaluation assessment treatment) to accurately apply ICD 10 CM codes to capture diag...

Description

Nemours Childrens Health is seeking a remote Professional Fee Abstractor.

This is a remote position.

Essential Functions:

Ability to comprehend medical record documentation to assign codes for each active session in multiple specialties. (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider)
Codes a minimum of 60-100 sessions per shift. The number of lines per session varies therefore Coding Required sessions are completed daily.
Works collaboratively in a team setting with providers allied health staff business office staff throughout the enterprise to achieve accurately coded 1500 claims.
Analyzes high-risk encounters for accurate charge capture and makes recommendation before transferring to second level review work queues.
Facilitates modifications to clinical documentation to ensure that information captured supports the level of service rendered with attention towards chronic conditions hierarchical condition categories (HCC) and risk adjustment factors (RAF).
Understands complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce take backs associated with un-clear nonspecific or un-substantiated care rendered.
Crossover coding is expected to help in any and all professional sessions (as assigned) using written reliable methods which identifies standard work requirements by session type.
Communicates with providers directly for clarification or gaps in documentation prior to submitting the session to assign the code(s) which fit services rendered.
Maintains production and accuracy objectives (i.e. metrics) identified annually.

Qualifications:

CPC CCS-P RHIA or RHIT required. CRC CEMC preferred
3-5 years coding experience
Medical Terminology and Anatomy and Physiology preferred
High School Diploma Required. Associates preferred

Required Experience:

Unclear Seniority

Key Skills

Apply Now

About Company

The Nemours Foundation

Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware an ... View more

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