Assign and review the accuracy of diagnostic codes and CPT codes for providers’ evaluation and management services, procedures, and diagnostic testing across all settings for billing, research, and reporting purposes.
- Review medical record documentation to assign ICD-10-CM, CPT-4, HCPCS, and modifiers in a timely manner.
- Review and resolve charge sessions, claim edits, and follow-up work queues.
- Manage assigned charge review and coding-related queues to ensure timely and accurate charge capture.
- Assist physicians and providers with coding and documentation questions.
- Provide feedback based on coding observations and communicate education trends to coding leadership and provider education teams.
- Ensure coded services comply with governmental regulations, NCCI, and payer-specific guidelines.
- Use available resources such as Epic, diagnostic imaging systems, lab systems, emergency systems, and coding references.
- Train and mentor Coding Quality Specialist Level 1 staff as directed.
- Assist coders with medical terminology, disease processes, and surgical techniques.
- Perform peer review as directed.
- Query physicians for clarification when documentation is incomplete or missing.
- Perform other duties as assigned.
Requirements & Qualifications
Minimum Requirements
- High school diploma or GED
- Three years of coding or clinical experience
- CPC through AAPC or CCS-P through AHIMA required for all functional areas
Benefits & Perks
Benefits and Perks
- Medical, dental, and vision insurance
- Paid time off
- Short-term and long-term disability
- Retirement savings
- Health savings plans and flexible spending accounts
- Certification and education support
- Generous paid time off
Location
Virginia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
4 months ago
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