Job Purpose
The Coder utilizes coding skills to work invoice reviews and provide expert advice to billing staff.
Responsibilities:
- Conduct audits and coding reviews to ensure all documentation is accurate and precise including our co source partners
- Assign and sequence all CPT and ICD-10 codes for services rendered when required
- Work with billing staff and system WQ’s to ensure proper payment of claims
- Comply with all Medicare policy requirements including coding initiatives and guidelines
- Work independently from assigned work queues
- Maintain confidentiality at all times
- Maintain a professional attitude
- Other duties as assigned by the management team
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications:
- CPC certification AAPC or CCS certification from AHIMA
- High School graduate or equivalent
- Minimum two years of coding experience related to the specialty needed (IP DRG, OP, Denials, SDS, etc.)
- Knowledge of Microsoft Word, Outlook, Excel
- Must be able to use job-related software
- Surgical coding experience a plus
- Solid interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Gracious and welcoming personality for customer service interaction
Working Conditions
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manu
📌 Coder (India)
🏢 Med-Metrix
📍 India
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