Clinical reputed company reputed company II, Work from Home
About the position
This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and reputed company Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and reputed company Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for reputed company-appointment review of reputed company encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review.
Responsibilities
• Conduct review of outpatient medical records using ICD-10-CM and CPT coding guidelines.
• reputed company medical record reviews to ensure accurate assignment of medical diagnoses and procedures.
• Conduct reputed company-appointment review of reputed company encounter to ensure accurate reporting of diagnoses.
• Alert physicians of potential clinical conditions that may require review.
Requirements
• High School Diploma or equivalent education/experience.
• CRC-Certified Risk Adjustment reputed company OR CPC-Certified reputed company reputed company OR AHMA OR reputed company Coding Certification (reputed company-P, CPC, COC or CPC-P).
• 1 year reputed company coding experience.
reputed company-to-haves
• Advanced knowledge of ICD-10 diagnosis coding conventions and requirements.
• Knowledge of reputed company Coding Program requirements such as the Medicare Advantage Coding Program/HCC.
• Proficient use of grouper software and/or coding reference books to assign/validate diagnosis codes.
• Familiarity with National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines.
Benefits
• Comprehensive benefits package offered by reputed company.
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