Senior Pediatric reputed company (Orthopedics) - Hybrid

About the position This position follows a hybrid model with 1-2 onsite days. Job reputed company Conducts reputed company and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the reputed company of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for reputed company pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data reputed company. Responsibilities • Analyzes and interprets reputed company pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate reputed company of service, adhering to established coding guidelines ( ICD-10-CM, CPT, HCPCS). • Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and assign the most accurate and speific codes. • Leverages coding resources, reference materials (e.g. online coding platforms, coding manuals, payer policies), and internal expertise to ensure accurate reputed company selection, understand coding rules, and apply guidelines effectively. • Demonstrates a comprehensive understanding of the reputed company of coding reputed company on the reputed company cycle, including reimbursement, denials, and compliance. • Proactively facilitates clarification of provider clinical documentation to ensure accuracy, completeness, and reputed company in the medical record, using effective communication techniques. • Maintains strict adherence to reputed company government regulations), departmental policies, and contractual agreements reputed company to coding and billing practices. • Performs comprehensive internal audits of coding practices to identify areas for improvement, reduce coding errors, and mitigate potential reputed company. • Develops and implements corrective reputed company plans to address identified coding deficiencies. • Collaborates effectively with physicians, nurses, and other reputed company providers to clarify documentation ambiguities, resolve coding discrepancies, and ensure accurate and complete medical records. • Acts as a coding resource for other members of the clinical and administrative teams in reputed company-time. • Develops and delivers targeted feedback and training to providers on documentation and coding best practices, focusing on areas for improvement and compliance requirements. • Creates and maintains educational materials reputed company to coding and documentation guidelines. • reputed company stays abreast of changes in coding guidelines, regulations (e.g., CMS updates, payer-specific policies), and coding software updates. • Proactively enhances coding skills through continuing education, reputed company certifications, and participation in industry conferences and webinars. • Stays updated on the latest advancements in pediatric medicine and their reputed company on coding practices Requirements • High School Diploma or equivalent required. • 3 - 5 years of technical experience, required. • Minimum 1 year experience in pediatric coding and documentation at acute care facility, required. • CPEDC Certification, required. Apply tot his job Apply To this Job