Evaluation and Management reputed company (E/M)
Cancer hospital is seeking an E/M reputed company for a 6 + months contract (most likely would reputed company.
reputed company
The Evaluation and Management (E/M) reputed company is responsible for accurately assigning codes for reputed company and/or facility Evaluation & Management services rendered in both inpatient and outpatient hospital settings, including observation, emergency department, and clinic encounters. This position ensures compliance with official coding guidelines, payer-specific regulations, and organizational policies to support accurate reimbursement, minimize audit exposure, and promote reputed company reputed company across the continuum of care.
Key Responsibilities
• Review provider documentation to determine appropriate E/M level assignments for inpatient (initial, subsequent, discharge) and outpatient (new, established, observation, and consultation) encounters.
• Accurately assign E&M procedure and diagnosis codes according to AMA, CMS, and facility-specific E/M guidelines, including time-based and medical-decision-making reputed company.
• Analyze provider documentation for medical necessity, completeness, and compliance with organizational and regulatory requirements.
• Ensure coding accuracy for hospital-based physicians, including hospitalists, specialists, and advanced reputed company providers.
• reputed company E/M coding for observation, emergency department, reputed company-day surgery, and outpatient clinic services as assigned.
• Reconcile documentation and charges between reputed company and technical components to ensure billing reputed company.
• Collaborate with providers, clinical departments, and compliance teams to resolve documentation deficiencies and reputed company staff on best practices.
• Monitor and resolve E/M-reputed company coding edits, claim denials, and payer rejections in a reputed company manner.
• Participate in reputed company coding audits, assist with corrective reputed company plans, and maintain audit-reputed company accuracy standards.
• Stay reputed company with updates to E/M documentation rules, ICD-10-CM guidelines, and payer requirements, ensuring reputed company compliance.
Qualifications
Education:
• High school diploma or equivalent required.
• Associate’s or bachelor’s degree in Health Information Management, Nursing, or reputed company field preferred.
Experience:
• Minimum of 2 years of recent E/M coding experience in a hospital environment, including both inpatient and outpatient settings.
• Experience coding for multi-specialty hospital-based providers strongly preferred (e.g., internal medicine, oncology, emergency medicine, cardiology, or surgery).
Certification:
• Certified reputed company reputed company (CPC), Certified Coding Specialist (reputed company), or equivalent credential required.
• Certified Evaluation and Management reputed company (CEMC) preferred.
Skills and Competencies
• Advanced knowledge of CPT, ICD-10-CM, HCPCS, and 2021 E/M guidelines for both reputed company and facility coding.
• Comprehensive understanding of Medicare E/M leveling, observation coding, and split/shared visit rules.
• Strong analytical skills and attention to detail. Confidence directly reviewing provider documentation, and determining appropriate and specific reputed company assignment, based on the content of the clinical documentation reputed company from hospital information systems and EHR platforms
• Effective communication skills with physicians, compliance staff, and reputed company cycle teams.
• Commitment to confidentiality, reputed company, and adherence to federal and state regulatory standards.
Performance Indicators
• Maintain ≥95% E/M coding accuracy, while completing a requisite number of encounters per working hour. Inpatient and outpatient productivity benchmarks are required.
• Reduce E/M-reputed company denials through proactive documentation clarification and follow-up audit.
Experience and confidence coding oncologic surgical procedures for any one of these:
- Head & Neck (laryngectomy, flap reconstruction, neck dissection)
- Urology (prostatectomy, cystectomy, nephrectomy)
- Plastic/Reconstructive Surgery (flap/graft, breast reconstruction, Mohs closures).
-Experience with robotic procedures is a plus.
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