Coder Iii : Medical Coding

Coder Iii : Medical Coding
Company:

(Confidential)


Coder Iii : Medical Coding

Details of the offer

:Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD:9:CM and/or ICD:10:CM, ICD:10:PCS and/or CPT:4 codes for billing, internal and external reporting, research and regulatory compliance activities.
:Resolve error reports associated with the billing processes, identify and report error patterns and when necessary assist in the design and implementation of work flow changes to reduce billing errors.
:Must meet ongoing productivity and quality metrics as established within the department for each level.
:Coder may work remote if minimum technology requirements, productivity and quality requirements are met and they sign, and adhere to, the Telecommuter Work Agreement.

Level I:

Identifies chargeable items and facility level for emergency department visits, including observation services, and enters them into billing system.

Meet and/or exceed the established quality standard of 95 accuracy rate or better while

meeting and/or exceeding established production standards.

:OR:

Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD:9:CM , ICD:10:CM and CPT:4 procedures.

Assigns codes for diagnoses and treatment according to the appropriate classification system for ancillary outpatient encounters, including modifier assignment.

Meet and/or exceed the established quality standard of 95 accuracy rate or better while meeting and/or exceeding established production standards.

Level II:

Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD:9:CM , ICD:10:CM and CPT:4 procedures.

Assigns codes for diagnoses, treatment and procedures according to the appropriate classification system for Outpatient and Emergency Department encounters, including modifier assignment.

Identifies chargeable items and facility level for emergency department visits, including observation services, and enters them into billing system.

Meet and/or exceed the established quality standard of 95 accuracy rate or better while meeting and/or exceeding established production standards.

Level III:

Utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICD:9:CM , ICD:10:CM and CPT:4 procedures.

Assigns codes for diagnoses, treatment and procedures according to the appropriate classification system for Outpatient ancillary and Emergency Department encounters, including modifier assignment.

Reviews professional and hospital inpatient and outpatient surgery medical record documentation and properly identifies and assigns ICD:9:CM, ICD:10 CM, and/or CPT:4 codes for all reportable diagnoses and procedures.

o Determines the correct principal diagnosis, co:morbidities, complications, secondary conditions and surgical procedures.

o Assigns MS:DRG

o Assigns Present on Admission (POA) indicators

o Identifies HAC (Hospital Acquired conditions) and when required, report through established procedures.

o Accurately abstracts Discharge Disposition code.

o Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Meet and/or exceed the established quality standard of 95 accuracy rate or better while meeting and/or exceeding established production standards.

Keeps abreast of coding guidelines by self:study, assigned education, coding meeting attendance or related in:services. Participates in internal and external quality review meetings.

Performs other duties as assigned.

Education, Training and Experience

Level I:

:Required: High school diploma or equivalent. Two years of hospital acute care OP diagnostic coding experience.
:Preferred: Successful completion of a certified coding program. Credentials to include one or a combination of the following: CCA, CCS, CCS:P, RHIT and/or RHIA. CPC and/or CPC:H will be considered with relevant outpatient co


Source: Tiptopjob_Xml


Area:

  • Other Jobs / Other Jobs - Crafts

Requirements

Related offers

Recruiting coordinator

Company Description You can either adapt to change, ignore it or lead it. Publicis Worldwide, North America is a full service advertising agency that helps our...


From Publicis Groupe Italia - New York

Published 21 days ago

General psychiatry

Northwest part of the state--Not For Profit CMHC looking for a General Adult Psychiatrist for 3 days a week. 100% Outpatient with no call. Compensation is $12...


From Fcs - Florida

Published 21 days ago

Service technician

Service Technician - Schaumburg, IL Service premium brands of commercial food equipment to include Hobart, Traulsen, Vulcan, Baxter, Wolf and many more! Are you...


From Itw Food Equipment Group - Illinois

Published 21 days ago

Engineering intern

Engineering Intern job is available with Perspecta in United States, Virginia. It is a Senior level role. ATT, CTA , Degree, High School, High school , High...


From Perspecta - Virginia

Published 21 days ago