Position Requirements:
Education Required:
Advanced training beyond High School that consists of the conclusion of a recognized or authorized program in Medical Coding Specialist.
Experience Required:
Typically needs 2 years of experience in expert coding that consists of experiences in doctor earnings cycle procedures, health details workflows and compensation in a big, complicated center or medical group.
Knowledge, Skills and Abilities Required:
Intermediate understanding of ICD, CPT and HCPCS coding standards.
Intermediate understanding of medical terms, anatomy and physiology.
Intermediate understanding of care shipment documents systems and associated medical record files.
Advanced understanding of Medicare, Medicaid and industrial payer coding standards.
Intermediate computer system abilities consisting of making use of Microsoft Office, e-mail and direct exposure or experience with electronic coding systems or applications.
Proficient social and interaction (oral and composed) abilities, consisting of the capability to successfully team up with numerous departments.
Intermediate company and prioritization skills capability to handle several concerns in a difficult, quick ~ paced workplace.
Intermediate analytical abilities, with a terrific attention to information.
Ability to work separately and workout independent judgment and choice making.
Ability to satisfy due dates while operating in a quick ~ paced environment.
Licensure, Registration and/or Certification Required:
Coding Associate (CCA) accreditation released by the American Health Information Management Association (AHIMA), or
Coding Specialist ~ Physician (CCS ~ P) accreditation released by the American Health Information Management Association (AHIMA), or
Health Information Administrator (RHIA) registration released by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration released by the American Health Information Management Association (AHIMA), or
Professional Coder (CPC) accreditation provided by the American Academy of Professional Coders (AAPC), or
Specialty Coding Professional (SCP) accreditation provided by the Board of Medical Specialty Coding and Compliance (BMSC).
Physical Requirements and Working Conditions:
Exposed to regular workplace environment.
Position needs travel which will lead to direct exposure to roadway and weather condition dangers.
Operates all devices required to carry out the task.
This task description suggests the basic nature and level of work anticipated of the incumbent. It is not created to cover or include an extensive listing of activities, responsibilities or duties needed of the incumbent. Incumbent might be needed to carry out other associated responsibilities.
Purpose:
Consistent and prompt processing of coding rejection/denial appeals and client issues connected to coding, consisting of tracking for patterns and patterns, and guaranteeing proper repayment within regulative requirements. Interacts patterns, outcomes and barriers to the management group.
Accountabilities:
Identifies and examines expert coding grievances, rejections and appeals for a particular population of charges. Operating in partnership with production coders.
Coordinates coding rejection information collection activities utilized for reporting and responsibility tracking. Determines possible patterns or understanding issues and chances for enhancement and avoidance.
Researches and records appropriate regulative, coding and billing guidelines and offers education products for the department teachers and coding intermediaries. Establishes standardized procedures, letters and systems for the coding production group to use when handling insurance coverage rejections.
Works with income cycle management, cli.
Supporter Health Care.
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