Medical Coder - San Antonio, TX
About the position
Responsibilities
• Processes attestation sheets and progress notes out of the RightFax work queue according to DataRAP® department guidelines.
• Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and ICD-9/ICD-10 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP® database.
• Performs the minimum number of validations consistent with established departmental goals.
• Provides clear communication, with use of DataRAP® application, through query to PCP on documentation not meeting standard as identified by 'no plan'.
• Provides clear communication, with use of DataRAP® application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note.
• Ensures accuracy of entry by comparing to outcome of diagnoses on eAttestation post validation entry.
• Associates attestation sheets received into the DataRAP® database to provide tracking for all markets.
• Identifies and reports quality concerns and errors to DataRAP® Clinical Process Quality Analyst for review and education.
• Responsible for providing coding support to the DataRAP® Clinical Coding Nurses and to the providers participating in the DataRAP® process.
• Performs all other related duties as assigned.
Requirements
• High School diploma or GED equivalent.
• CPC certification or proof that certification has been obtained within nine months of hire date from the American Academy of Professional Coders.
• 1+ years of working knowledge of ICD-9/ICD-10 CM guidelines and coding.
• Intermediate proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook.
• Ability and willingness to travel (locally and non-locally) as determined by business need.
Nice-to-haves
• Associate's Degree or higher
• 2+ years of medical coding experience with strong attention to detail and a high level of accuracy in a clinical or managed care setting.
• Experience with proprietary medical coding systems.
Benefits
• Comprehensive benefits package
• Career development opportunities
• Diversity and inclusion culture
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