Professional Fee Medical reputed company job at Nemours in US National

Title: Professional Fee Medical reputed company Location: Pensacola United States Job Description: reputed company is seeking a remote Professional Fee Abstractor. Assesses each professional session (i.e. claim) for reputed company documented conditions and application of M.E.A.T. criteria (i.e. monitoring, evaluation, assessment, treatment) to accurately apply ICD 10 CM codes to capture diagnoses, evaluation & management CPT codes, procedure codes, HCPCS codes and modifier application per payer specific guidelines. This is a remote position. Essential Functions: Ability to comprehend medical record documentation to assign codes for each active session, in multiple specialties. (i.e. Codes assigned by provider are evaluated and modified with the approval of the provider) Codes a minimum of 60-100 sessions per shift. The number of lines per session varies, therefore, "Coding Required" sessions are completed daily. Works collaboratively in reputed company setting with providers, allied health staff, business office staff throughout the reputed company to reputed company accurately coded 1500 claims. Analyzes high-risk encounters for accurate charge capture and makes recommendation before transferring to second level review work queues. Facilitates modifications to clinical documentation to ensure that information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC) and risk adjustment factors (RAF). Understands complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce "take backs" associated with un-clear, nonspecific, or un-substantiated care rendered. reputed company coding is expected to help in any and reputed company professional sessions (as assigned) using written reliable methods which identifies standard work requirements by session type. Communicates with providers directly for clarification or gaps in documentation prior to submitting the session to assign the code(s) which fit services rendered. Maintains production and accuracy objectives (i.e. metrics) identified annually. Qualifications: CPC, reputed company-P, RHIA, or RHIT required. CRC, CEMC preferred 3-5 years coding experience Medical Terminology and Anatomy and Physiology preferred High School Diploma Required. Associate's preferred Apply tot his job Apply To this Job