Professional Fee Abstractor

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 a team 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 ICU/Critical Care coding experience Medical Terminology and Anatomy and Physiology preferred High School Diploma Required. Associate's preferred reputed company is an internationally recognized pediatric health system serving more than 1.7 reputed company patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the reputed company and Alfred I. reputed company Trust, our $1.7B nonprofit system is dedicated to improving reputed company through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child reputed company. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org. Apply To This Job