Review clinical documentation and diagnostic results to assign appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance.
Apply reimbursement methodologies to assigned charts to help optimize reimbursement and resolve regulatory edits. Identify and correct error reports related to the billing process, report recurring error patterns, and support workflow improvements to reduce billing errors.
Requirements & Qualifications
Required Qualifications
- One of the following certifications is required: CCS, CCS-P, CPC, CPC-H, CMC, RHIT, RHIA, CPC-A, or a specialty coding certification.
- Associate degree in Health Information Management required.
- At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred.
- CPC-A holders must obtain full CPC certification within 24 months of hire.
- For homecare roles, HCS-D certification is required within 16 months of hire.
Additional Expectations
- Adhere to AHIMA Standards of Ethical Coding and official coding guidelines.
- Maintain 95% accuracy and established productivity standards.
- Use Care Connect, UDS, and Clintegrity systems proficiently.
- Prepare compliant physician coding queries when documentation is unclear or incomplete.
- Correct billing edits, misclassified accounts, and other errors in a timely manner.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago
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