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Profee Coder/Edits/Charge Review w/E&M background
Overview
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Pro Fee Coder-Claims Edits-E&M
6 month assignment
Contract or C2H available-can only hire perm if from Southern CA, TX, FL, NC, TN, WI, UT, IA, GA
Duties: The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verify that all ICD-10-CM codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes 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. Coding – Clinic: In addition to the above, the coder meets ongoing productivity and quality standard of 95% accuracy rate or better. The coder follows all coding conventions and serves as a coding consultant to Hoag providers. Discrepancies are identified that may impact quality of care and/or billing issues. The coder will serve as a resource and subject matter expert to other coding staff. Completes coding charge review and claim edits in Epic or other appropriate EMR system which would entail coding and correcting ICD-10 codes, modifiers, CPT, E/M, and procedure codes.
Skills: Critical thinking, diversity, technical and equipment skills, interpersonal skills, job knowledge, oral/written communication, possible travel. Business acumen, customer satisfaction, innovation, trust and accountability.
Keywords:
Education: High school diploma or equivalent required. Medical Coding Hospital: Completion of a certified coding program or graduate of a CAHIM accredited HIT program required. Two years (2) of hospital acute care Emergency and/or Outpatient procedures, and same day surgery. Coding – Hoag Clinic: Required: Minimum 2+ years of work experience as a medical coder. Preferred: Coding experience in multiple specialties to include but are not limited to: OB/GYN, Urology, Oncology, Pain Management, Cardiology, General Surgery, Cardiothoracic, Neurosurgery, Neurology, and Orthopedics procedures. Knowledge of E/M coding. HASCH – 2 years’ experience required. Graduate of a CAHIM accredited HIT program and is CCS eligible or RHIT eligible preferred. Spine and Ophthalmology experience preferred. Certifications required:
Certified Coding Specialist
Certified Coding Specialist Physician-Based
Certified Professional Coder
Pain Management
Specialist (CCS), or Certified Professional Medical Auditor (CPMA)
Location: remote,
Type: Contract
Pay: Apply for details
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