Review, evaluate, and code inpatient and outpatient medical records to extract pertinent diagnostic, procedural, and demographic information.
Maximize financial reimbursement through accurate interpretation and application of HCFA, ICD-10-CM, and CPT-4 rules and regulations.
Sequence and code diagnostic and procedural information correctly, resolve questionable or poorly documented cases with physicians or medical records leadership, and collaborate with medical staff, records staff, and billing staff to ensure accurate and timely billing.
Maintain status logs for admissions, transfers, and discharges, support internal data controls, and handle highly confidential patient and hospital information appropriately.
Extensive working knowledge of medical terminology, anatomy, physiology, pathology, pharmacology, diagnostic testing, and medical procedures.
Strong understanding of ICD-10-CM and CPT-4 coding systems and the ability to apply coding rules and regulations accurately.
Knowledge of Medicare, Medicaid, and other third-party payors, including billing and reimbursement policies.
Ability to provide guidance and assistance to medical staff, medical records staff, and billing unit staff.
Education or equivalent experience through one of the following:
- Graduation from a recognized college with specialization in medical record science
- Graduation from a school of nursing with CCS certification by AHIMA or CPC certification through AAPC
Experience as a Coding Abstractor or Coding Specialist working with the CPT-4 classification system in a reimbursement setting within an approved public or private hospital.
Minimum 4 years of experience required.
Location
Rhode Island, US
Employment Type
Contractor
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago