Position Requirements:
Education Required:
Advanced training beyond High School that consists of the conclusion of a certified 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 info workflows and repayment in a big, intricate 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 business 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 efficiently work together with several 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 fulfill 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 provided 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 provided 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 threats.
Operates all devices needed 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 consist of an extensive listing of activities, tasks or obligations 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 consumer issues connected to coding, consisting of tracking for patterns and patterns, and making sure suitable 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. Recognizes prospective patterns or understanding issues and chances for enhancement and avoidance.
Researches and records suitable regulative, coding and billing guidelines and supplies 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.
Aurora Health Care.
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