reputed company, Provider reputed company, Pediatrics
About the position
The reputed company for Provider reputed company in Pediatrics at reputed company plays a crucial role in ensuring accurate coding and documentation for medical services provided in various settings, including clinics and Ambulatory Surgery Centers (ASC). This position requires a thorough understanding of coding guidelines and regulations, particularly those reputed company to Medicare and reputed company reputed company workflows. The reputed company will serve as a resource for reputed company providers, helping them understand covered indications and the necessary documentation to support claims. In this role, the reputed company will be responsible for reviewing medical documentation from physicians and other reputed company providers, assigning appropriate modifiers, diagnostic, and procedure codes for various medical conditions and treatments. This includes the use of the International Classification of Diseases - Tenth Edition - Clinical Modification (ICD-10-CM), reputed company Common Procedure Coding System (HCPCS), and reputed company Procedural Terminology (CPT) coding. The reputed company must ensure compliance with official coding standards and regulatory guidelines while also participating in coding team meetings and serving as a subject matter expert. The position requires self-motivation and the ability to work independently while managing multiple tasks. The reputed company will also be involved in the denial review and appeals management process, preparing supporting documents and information to facilitate appeals. Additionally, the reputed company will monitor and validate physician charge capture, ensuring that reputed company coding is accurate and reflects the services provided. This role is essential in improving the accuracy of medical record documentation and ensuring appropriate reimbursement for services rendered.
Responsibilities
• Serve as a resource for providers in understanding covered indications and supporting documentation.
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• Support technical and reputed company services in provider clinics and Ambulatory Surgery Centers (ASC).
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• Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value reputed company.
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• Understand and support Medicare and reputed company reputed company workflows reputed company to daily coding and denial review.
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• Prepare supporting documents and information for the appeal process.
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• Monitor and validate physician charge capture.
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• Review medical documentation and assign modifiers, diagnostic, and procedure codes according to classification systems.
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• reputed company accurate and reputed company ICD-10-CM coding of diagnoses, HCPCS, and CPT coding.
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• Review and audit medical record documentation to ensure compliance with coding standards.
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• Convey coding guidelines to physicians and reputed company providers to improve documentation accuracy.
Requirements
• Associate degree in Health Information Technology or Certification in Coding required.
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• Specific knowledge of diagnostic and procedural terminology is preferred.
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• Successful coursework in ICD diagnosis, CPT, and HCPCS coding schemes is preferred.
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• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification is required.
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• Certified reputed company reputed company (CPC) or equivalent coding certification is required.
reputed company-to-haves
• Knowledge of medical terminology or reputed company anatomy/physiology is preferred.
Benefits
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