Clinic Coder (Remote) - Clinic Coding Services - FT - Day
About the position
Responsibilities
• Selects and enters appropriate ICD-9-CM/ICD-10-CM and CPT codes utilizing encoding system and application of appropriate coding guidelines and resources.
• Utilizes Electronic Medical Record applications to process claims electronically and/or manually on clinic encounter charge tickets when appropriate.
• Routes completed charge tickets to business office for timely charge entry.
• Proficient with assignment of evaluation and management codes and medical necessity documentation guidelines.
• Complies with all payer specific guidelines for appropriate code assignment.
• Provides proper date and accident information on charge claims.
• Works in collaboration with clinic and hospital staff towards claim resolution.
• Continually monitors and works assigned coding queues as assigned by Director.
• Works professionally and in a timely manner to resolve all claim issues or business office inquiries.
• Attends monthly department meetings and provides feedback on coding topics when appropriate.
• Contacts physician or other qualified healthcare professionals when deemed necessary to clarify ambiguous or missing documentation for services rendered.
• Notifies Director of all documentation/billing practices that do not meet facility or regulatory guidelines.
• Continually educates self to stay current with coding guidelines and regulatory changes through use of educational materials.
• May be required to converse and educate physicians or other qualified healthcare professionals on coding/billing practices when appropriate.
Requirements
• 2 years Coding experience (Preferred)
• Knowledge of medical terminology (Preferred proficiency)
• Knowledge of reimbursement processes and regulatory guidelines and ability to process claims through application and understanding of these guidelines (Preferred proficiency)
• Registered Health Information Administrator (RHIA) - AHIMA Required
• Registered Health Information Technician (RHIT) - AHIMA Required
• Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Required
• Certified Coding Specialist (CCS) is also accepted
• Certified Professional Coder - AAPC Required
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