What you will contribute:
- Reviews medical record information to identify all appropriate coding based on CMS, ICD-10-CM, modifiers, and HCPCS/CPT categories.
- Verifies and ensures the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
- Follows up with appropriate individuals or providers to obtain additional necessary records to resolve coding issues.
- Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement.
- Operates unique claim technologies in order to identify and resolve coding issues in order to submit clean claims.
- Assists and confers with other coders and Director of Coding concerning any problem records.
- Stays current with compliance and changing regulatory guideline.
- The ideal candidate will have:
- High School Diploma or GED (Required)
- 2+ year relevant work experience (Preferred)
- Surgical coding experience (Required)
- Certified Medical Coder (CPC) with high degree of competence in this area with two (2) years’ experience. (Required)
- Certified Orthopedic Surgery Coder (COSC) (Preferred)
- Must have foundational knowledge of medical terminology and anatomy.
- Ability to work with computer and online resources effectively and efficiently.