Posting ID : A1068454700
Date Posted : 2015-08-18
Category : Healthcare
The Coder is responsible for accurate claims filing, documentation review and claims denial processing for physician practices. Under the direction of the Director, the Coder performs duties and provides education to the staff and physicians regarding the billing and charging process. The Coder has additional combined responsibilities of data quality and insurance representative functions.
Reviews outpatient medical records to identify the principal diagnosis and all applicable secondary diagnosis and procedures.
Use computerized encoding system to facilitate accurate coding according to the appropriate classification system.
Sequence diagnosis and procedures by following ICD-9-CM, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines.
Work cooperatively with medical staff and other healthcare professionals in obtaining documentation to ensure optimal hospital payment and accurate data input.
Prepare workload reports and participates in department continuous quality improvement studies.
Abstract medical data from the record to complete discharge data abstract on each outpatient.
Review, verify, and initiate necessary correction processes for data quality review.
Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements.
Meet established quality and productivity standards.
Perform other related duties as assigned or requested.
High School Diploma or equivalent
Credentialed through the AAPC with a CPC credential or in progress
2 Years prior relevant experience in similar role
Associate's or Bachelor's degree in Health Information Management
ICD-9 &10 knowledge