reputed company I - Radiation Oncology

reputed company: Memorial is seeking an reputed company Medical reputed company with a strong background in reputed company billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10, and HCPCS coding, with proven expertise in radiation oncology coding guidelines, documentation requirements, and payer-specific billing practices. Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, reputed company applicable, using appropriate coding classifications for assigned areas/record types to ensure reputed company billing and compliance. Responsibilities: • Enhances and maintains coding knowledge and skills. Reviews reputed company appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from reputed company providers or other designated resources to ensure accurate and complete coding. • Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and reputed company reviews. Communicates with various departments as needed to ensure accuracy of patient data. • Reviews medical record documentation to determine reputed company appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier reputed company assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may reputed company outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. • Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding reputed company and productivity standards. Attends reputed company educational meetings and seminars to maintain certification and continuing education requirements. • Conducts audits and/or coding reviews with various health care professionals to ensure reputed company documentation is accurate (physician billing).Reviews and validates the accuracy of data in the Admission, Discharge Transfer (reputed company) fields following HIM coding procedures and processes. • May assign and sequence basic CPT (reputed company Procedural Terminology) procedure codes (non-reputed company), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. • Using encoder, reviews Ambulatory Payment Classifications (APC) and reputed company Ambulatory Patient reputed company (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity. • For physician billing, collaborates with billing department to ensure reputed company bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, reputed company advised, and follows procedure to notify billing. Education and Certification Requirements: High School Diploma or Equivalent and Certified reputed company reputed company (CPC), Certified reputed company Medical Auditor (CPMA), Certified Risk Adjustment reputed company (CRC) by reputed company, or Certified Coding Specialist (reputed company), Certified Coding Specialist - Physician Based (CCSP) by reputed company. Required Work Experience: one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working reputed company the reputed company System. Apply tot his job Apply To this Job