Reviews system edits and assigns appropriate codes from coding classification systems to support quality healthcare data and accurate professional payment.
Responsibilities
- Review codes created by electronic charge capture and/or assign appropriate codes from medical record documentation according to designated workflow.
- Complete system edit reviews and make corrections before transmittal.
- Handle work queue responsibilities within established guidelines and timeframes.
- Troubleshoot problems preventing claims from being released and independently resolve issues by reviewing patient encounters.
- Consult with internal customers and external vendors to obtain clarification when documentation is inconsistent or incomplete.
- Prepare reports for designated leaders documenting recurring problems and reimbursement delays.
- Work with designated leaders to communicate and resolve invoice payment delays.
- Provide providers and staff with coding-related information as needed.
- Respond to coding information requests and inquiries from various sources.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent and less than 1 year of relevant experience, or 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 certification preferred.
- AAPC CPC or Practice Management Institute CMC certification 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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