The coder evaluates medical records and charges to ensure completeness, accuracy, and compliance with state and federal regulations and standardized coding guidelines.
Responsibilities include:
- Assign appropriate diagnosis and procedural codes to patient encounters according to official coding guidelines.
- Review Medicare reimbursement claims for completeness and accuracy before submission to reduce claim denials.
- Evaluate medical record documentation and charging to support reimbursement and ensure data complies with legal standards and official coding guidelines.
- Stay current on laws, regulations, coding guidance, and documentation requirements through bulletins, newsletters, periodicals, and workshops.
- Educate and advise staff on proper code selection, documentation, procedures, and requirements as needed.
- Perform other related duties as assigned.
- Adhere to the facility's Standards of Excellence.
Requirements & Qualifications
- High school diploma or GED required.
- Preferred: active Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) credential in good standing.
- Must have rural health coding and billing experience; education and training may be considered in lieu of experience.
- Knowledge of diagnosis and procedural coding guidelines, medical terminology, anatomy and physiology, Medicare reimbursement guidelines, and English grammar/usage.
- Ability to research and analyze data, draw conclusions, resolve issues, and interpret policies, procedures, laws, and regulations.
- Ability to read and interpret medical procedures and terminology.
- Ability to exercise independent judgment and maintain confidentiality.
- Ability to sit for prolonged periods and work on a computer.
- Ability to lift up to 15 pounds occasionally.
Location
Missouri, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago
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