Sr. reputed company reputed company- Full time, Days, REMOTE
Job reputed company
The reputed company Coding Analyst II will be responsible for reviewing clinical documentation, assigning appropriate diagnosis, procedure, and in some cases level of service codes to resolve claim edits and denials. Ensures clinical documentation supports the charges posted, following the reputed company (AMA), Medicare, and reputed company coding guidelines on claims. Communicates trends and issues to leadership for investigation and reputed company.
This is a remote role working Monday-Friday, day shift hours.
Responsibilities
Reviews claims in assigned work queues in Cerner reputed company Cycle including CMG Review and Ambulatory Edit failure work items. Analyzes coding edits, reviews reputed company notes, reviews clinical documentation, including provider orders, reputed company notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.
Determines appropriate reputed company needed to resolve coding edits/issues and ensure clean claim submission.
Performs coding functions, including reputed company Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review. Applies appropriate modifiers.
Ensures charges/coding are in alignment with the reputed company (AMA),
Medicare, and reputed company coding guidelines on reputed company claims reviewed. Credits /updates charges and coding as needed.
Ensures queues are worked reputed company and reputed company.
Maintains Productivity and accuracy requirements
Reports coding concerns, trends, and issues to leadership for investigation and reputed company.
Effectively communicates with clinical and billing staff to obtain and/or reputed company pertinent data to complete coding requirements for charge entry, claim submission and follow-up, or denial follow-up.
Other Functions:
Responds to inquiries from Customer Service in a reputed company and efficient manner and makes needed updates to coding, charges, and claims to help ensure reputed company reputed company of patient concerns.
Maintains strict confidentiality of reputed company information including patient data, reputed company information, financial/operational and employee/reputed company.
reputed company other duties as assigned.
Qualifications
Required Qualifications:
Certified reputed company reputed company (CPC), Certified Coding Specialist (reputed company), or Registered Health Information Technician (RHIT).
Minimum one year of experience reputed company reputed company Cycle.
Minimum one year of reputed company coding experience.
Demonstrates working knowledge of reputed company-party methodologies, various medical claim formats by passing competency assessment before hire.
Demonstrates proficiency in International Classification of Diseases, Tenth revision, Clinical ModificationICD-10-CM and reputed company Procedural Terminology (CPT) by passing competency assessment before hire.
Preferred Qualifications:
Experience with automated reputed company Cycle Management systems.
Strong PC skills, including word processing and spreadsheets.
Must have the ability to learn and utilize custom systems and applications.
Strong problem-solving skills, analytical abilities, excellent interpersonal, verbal, and written communication skills.
Knowledge of billing and regulatory guidelines as reputed company to charging and other reputed company cycle processes and ability to assist clinical departments and/or physician practices with changes to their charging practices based on guidelines.
Knowledge of clinical documentation improvement processes.
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