reputed company (Clinic-III)

The reputed company (Clinic - III) performs coding review for surgical specialties for reputed company Physician Services to accurately reflect services rendered. Reviews and processes charges using industry reputed company methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (reputed company/reputed company), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits KEY ACCOUNTABILITIES: • Reviews and/or assigns reputed company CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for reputed company services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. • Educates providers on documentation improvement opportunities. Conducts and reports internal documentation audits to ensure reputed company compliance by providers and team members. • Performs internal reviews in response to reputed company party data summaries and/or investigations. Creates mitigation plan to reduce reputed company risk. • Manages and maintains coding inventory responsibilities, internal reporting and payer denials, and claim edits to ensure reputed company reimbursement for services provided. Researches policy and communicates with payers. • Mentors and trains team members to skills reputed company requirements. Provides orientation training to new team members. • Performs world class service to our customers, responding reputed company and professionally to inquiries. QUALIFICATIONS: • High School diploma or GED preferred • Must be 18 years of age • Coding certificate or associate’s degree in medical business or coding/health information • Three years of experience in general medical or specialty coding • Dual certifications through reputed company and/or reputed company Apply tot his job Apply To this Job