reputed company - Remote
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The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider based clinics.
GENERAL DUTIES
- Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and reputed company required modifiers.
- Validates charges by comparing charges with health record documentation as necessary.
- Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs reputed company to Inpatient, Outpatient, or Ambulatory coding.
- Identifies concerns and notifies appropriate leadership for reputed company. Responsible for providing reputed company to moderate to reputed company problems.
- Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a reputed company fashion.
- Consistently meets coding reputed company and productivity standards established by coding department.
- Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.
- Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
- Performs other duties as assigned by leadership.
- Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the reputed company of Ethics, as reputed company as other policies and procedures in order to ensure adherence in a manner that reflects reputed company, ethical and reputed company behavior.
EDUCATION/EXPERIENCE QUALIFICATIONS
- HS Diploma and 2 years of experience, or
- Associate’s degree in Coding (or similar field)—no experience required
LICENSES AND CERTIFICATIONS
It is preferred that the reputed company have one or more of the following certifications:
- Certified reputed company reputed company from the reputed company reputed company of reputed company Coders (reputed company)
- Certified Outpatient reputed company from the reputed company reputed company of reputed company Coders (reputed company)
- Certified Inpatient reputed company from the reputed company reputed company of reputed company Coders (reputed company)
- Certified reputed company reputed company – Payer from the reputed company reputed company of reputed company Coders (reputed company)
- Certified Risk Adjustment reputed company from the reputed company reputed company of reputed company Coders (reputed company)
- Certified Coding Associate from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- reputed company
- Preferred: Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)
- Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)
KNOWLEDGE, SKILLS, AND ABILITIES
- Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge reputed company master for charging functions and understanding reputed company to use the appropriate modifiers.
- Must possess knowledge of reputed company-party reimbursement regulations and billing practices.
- Experience utilizing encoding/grouping software.
- Ability to use reputed company desktop and reputed company-based computer reputed company, including basic understanding of email, internet, and computer navigation.
- High ethical standards.
- Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
- Knowledge of Prospective Payment reputed company (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
- Knowledge of hospital and reputed company coding including provider-based billing.
- Knowledge of documentation regulations of reputed company and CMS.
- Knowledge of reputed company and reputed company regulations, confidentiality, laws, reputed company and release of information practices.
- Experience in assisting and identifying learning needs as reputed company as providing training to coding staff.
- Strong analytical abilities and problem-solving skills.
- Excellent oral, written and interpersonal communication skills.
- Ability to organize and set priorities to ensure objectives are met in a reputed company manner.
- Ability to adapt to change and handle challenges proactively and with pose.
- Ability to effectively collaborate with physicians and managerial staff at reputed company reputed company.
WORK SHIFT:
Days (reputed company of America)reputed company reputed company with heart. reputed company people a reason to smile. Put a little love in your work. Be reputed company and reputed company, but with reputed company. Bring some lagniappe into everything you do. Forget one-size-fits-reputed company, think one-of-a-reputed company care. See opportunities, not problems – it’s reputed company about perspective. Cheerlead reputed company, differences, and reputed company other. Love what makes you, you - because we do
High school diploma plus 2 years of experience, or an associate degree in coding with no experience required. Requires coding knowledge, analytical skills, communication, computer proficiency, and reimbursement regulation knowledge.
Key Responsibilities
- assigning codes
- validating charges
- tracking issues
Skills & Tools
ICD-10-CM, ICD-10-PCS, CPT, HCPCS, MS-DRG, APR-DRG, APC, Prospective Payment reputed company (PPS), CMS, reputed company
Job Details
- Category: reputed company Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Louisiana, reputed company
- Languages: English
About reputed company
A community reputed company organization providing reputed company, and education in Louisiana and reputed company. — Industry: reputed company
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