Role Description
The position involves reviewing medical documentation from clinicians, qualified health professionals, and hospitals to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS.
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Assign and ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations.
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Adhere to organization and departmental guidelines, policies, and protocols.
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Review all clinician documentation to support assigned codes in the health information record.
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Conduct independent research to promote knowledge of coding guidelines, regulatory policies, and trends.
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Abide by the Standards of Ethical Coding set forth by the American Health Information Management Association.
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Maintain confidentiality of patient records and report any perceived non-compliant practices.
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Meet and exceed departmental quality and productivity standards.
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Recommend modifications to current policies and procedures as needed.
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Responsible for processing Coding Claim Denials and Coding Claim Rejections when applicable.
Qualifications
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Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA).
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Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge).
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Typically requires 3 years of experience in professional coding, including experiences in hospital or professional revenue cycle processes and health information workflows.
Requirements
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Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
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Advanced knowledge of medical terminology, anatomy, and physiology.
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Intermediate computer skills, including the use of Microsoft Office products and electronic coding systems.
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Advanced communication (oral and written) and interpersonal skills.
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Advanced organization, prioritization, and reading comprehension skills.
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Advanced analytical skills with high attention to detail.
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Ability to work independently and exercise independent judgment and decision-making.
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Ability to meet deadlines while working in a fast-paced environment.
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Ability to take initiative and work collaboratively with others.
Benefits
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Base compensation listed within the pay range based on qualifications, skills, relevant experience, and/or training.
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Premium pay such as shift, on-call, and more based on a teammate's job.
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Incentive pay for select positions.
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Opportunity for annual increases based on performance.
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Paid Time Off programs.
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Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
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Flexible Spending Accounts for eligible health care and dependent care expenses.
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Family benefits such as adoption assistance and paid parental leave.
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Defined contribution retirement plans with employer match and other financial wellness programs.
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Educational Assistance Program.