Reviews system edits and assigns appropriate codes from the coding classification system to support quality healthcare data and accurate professional payment. Prepares reports for designated leaders and helps resolve coding-related issues that may delay claims or reimbursement.
- Reviews electronically captured charges and/or medical record documentation to assign or correct codes.
- Completes system edit reviews and makes corrections before transmittal.
- Troubleshoots claim release issues and independently resolves coding edits.
- Consults with internal customers and external vendors when documentation is incomplete or unclear.
- Prepares reports on recurring issues and reimbursement delays.
- Responds to coding questions and information requests.
- Performs other duties as assigned.
Requirements & Qualifications
- High school diploma or equivalent.
- Less than 1 year of relevant experience, or an equivalent combination of education and experience.
- Knowledge of ICD-10-CM, CPT, and HCPCS preferred.
- Working knowledge of medical terminology and anatomy preferred.
- AHIMA RHIA, RHIT, or CCS preferred, or AAPC CPC / PMI CMC preferred.
Location
New York, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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