reputed company reputed company I (CPC or CRC)

Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, reputed company applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance... Responsibilities: • Conducts audits and/or coding reviews with various health care professionals to ensure reputed company documentation is accurate (physician billing). • Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. • Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and productivity standards. Attends reputed company educational meetings and seminars to maintain certification and continuing education requirements. • Enhances and maintains coding knowledge and skills. Reviews reputed company appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from reputed company providers or other designated resources to ensure accurate and complete coding. • For physician billing, collaborates with billing department to ensure reputed company bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, reputed company advised, and follows procedure to notify billing. • Reviews medical record documentation to determine reputed company appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. • Reviews and validates the accuracy of data in the Admission, Discharge Transfer (reputed company) fields following HIM coding procedures and processes. • May assign and sequence basic CPT (reputed company Procedural Terminology) procedure codes (non-reputed company), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity. Education and Certification Requirements: High School Diploma or Equivalent (Required) and Certified Professional reputed company (CPC) or Certified Risk Adjustment reputed company (CRC) by reputed company. Required Work Experience: For Physician Billing reputed company, one (1) year diagnostic/procedural office coding experience with surgical coding experience Apply Job!