Health care Partners.

  • Salinas, CA


  • Irreversible.

  • Full-time.

POSITION/JOB SUMMARY:

The Threat Modification Coding Expert is a qualified coder who is accountable for abstracting company services precisely into ICD-10 codes from the medical paperwork in accordance to the coding principles of American Academy of Expert Coders (AAPC), American Health Details Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer protection standards. This position is likewise accountable for doctor education associating with paperwork and coding requirements in accordance with ICD-10 CM and CMS standards.

SECRET RESPONSIBILITIES & DUTIES:

  • Accountable for abstracting company services into billable codes (CPT, HCPCS, & ICD-10) from the medical paperwork in accordance to the coding principles of AAPC, AHIMA and NAMAS and payer protection standards in a precise and prompt way.
  • Abstract client encounters to recognize documents shortages, then inform doctors on suitable documents to catch the general health status of clients.
  • Recommendation coding and payer resources to properly code and bill the company recorded services.
  • Perform coding and documents audits on companies and personnel to recognize locations of danger resulting in over or under coding and documents.
  • Make sure coding practices are certified with the policies stated by personal and federal government payers and inform them on how to utilize documents to keep compliance and correct repayment in addition to finishing the audit visit companies.
  • Perform coding audits on internal coders to make sure correct coding practices are certified with policies and protection policies of personal and federal government payers and inform them to enhance their coding abilities in addition to finishing the audit go to coders.
  • Continue education with coding and billing by means of Encoder Pro, coding memberships and resources offered by Cypress Health care Partners. Licensed coders will likewise be accountable for sending CEUs and keeping their accreditation existing.
  • Other responsibilities as appointed.

UNDERSTANDING, ABILITIES, AND CAPABILITIES

  • Have experience effectively coding (CPT, HCPCS, & ICD-10/ HCC) services from the medical documents in accordance to the coding principles of AAPC, AHIMA and NAMAS.
  • Strong understanding and proficiency in Hierarchical Condition Classifications (HCC) and danger modification designs.
  • Should have the ability to interact efficiently in English, verbally and composed. Extra languages are preferable.
  • Exceptional client service and phone rules abilities.
  • Should have the ability to keep a high degree of privacy and work well under efficiency requirements.
  • Able to focus on and stabilize the work on brief and long-lasting business requires.
  • Needs to have the ability to work separately and have the ability to resolve issues effectively and precisely.
  • Able to develop channels of interaction to get details required to carry out task tasks.
  • Strong organizational abilities with the capability to focus on a high-volume work.
  • Practical mindset, favorable team effort spirit with a determination to assist.

CREDENTIALS/EDUCATION/EXPERIENCE

  • High School Diploma or Equivalent needed.
  • Minimum of 4 years of experience in medical billing and/or coding.
  • CRC, CPC, CCS-P, or Specialized Accreditation in Medical Coding needed. CEMA Accreditation is extremely preferable.

Health care Partners.

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