Responsible for accurately coding complex outpatient encounters using ICD-10-CM, CPT, HCPCS, and modifiers to ensure proper reimbursement and compliance.
- Assign appropriate diagnosis and procedure codes based on thorough review of medical records.
- Interpret medical documentation using knowledge of anatomy, physiology, disease processes, pharmacology, and medical terminology.
- Resolve NCCI edits with approved modifiers and use coding resources such as 3M Encoder.
- Communicate with physicians for documentation clarification when necessary.
- Maintain at least 95% coding accuracy and meet productivity standards.
- Analyze system changes, participate in software testing, and identify opportunities to improve coding processes.
Requirements & Qualifications
- 3-4 years of coding experience in an acute healthcare setting.
- AHIMA credential required: RHIT, RHIA, or CCS, with ongoing CE requirements.
- Strong knowledge of ICD-10-CM, CPT, HCPCS, anatomy, disease processes, and pharmacology.
- Ability to work independently and interpret complex medical records accurately.
- Preferred: bachelor's degree and 4+ years of coding experience.
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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