Multispecialty Denials Medical Coder
Job Description:
• Accounts for coding and abstracting of patient encounters
• Researches and analyzes data needs for reimbursement
• Analyzes medical records and identifies documentation deficiencies
• Serves as resource and subject matter expert to other coding staff
• Reviews and verifies documentation that supports diagnoses, procedures and treatment results
• Identifies diagnostic and procedural information
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines
• Follows coding conventions
• Serves as coding consultant to care providers
• Identifies discrepancies, potential quality of care, and billing issues
• Researches, analyzes, recommends, and facilitates plans of action to correct discrepancies and prevent future coding errors
Requirements:
• Proven work experience as a Medical Coder (CPC Certified)
• 1+ years of work experience as a Medical Coder
• Particularly in Denials Management
• Specialized in either Radiology/Anesthesia/OBGYN/Denials
• Excellent communication skills, both verbal and written
• Outstanding organizational skills
• Ability to maintain the confidentiality of information
Benefits:
• Health insurance
• Flexible work arrangements
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