Job Responsibilities:
- Code claims directly from the medical record/operative report per current coding guidelines.
- Accurate and timely completion of charge review work queues as assigned.
- Assist with tracking and trending coding issues and research of denied claims.
- Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.
- Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.
- Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in coding.
- Participates in all educational activities including coding meetings/calls as necessary to provide information relating to coding and compliance. Communicates professionally with physicians, management, and peers.
- Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate.
- Responsible for monitoring and coding of assigned accounts that are pre and post billed, and as a team, ensure timely, compliant processing of ProFee accounts through the systems.
- Navigate and understand multiple Electronic Medical Record applications, dependent on client assignment determined by leadership and business need.
Experience We Love:
- High School Diploma or GED, required
- 1+ years of previous coding experience
- Current CCS or CPC coding certification