Review clinical documentation to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
Provides coding feedback to providers, clinical department leadership, and revenue cycle team
Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
Assists with design and implementation of workflow updates and coding tools
Support denial team on coding related denials
Assist Coding Manager on physician education projects
Any other duties as assigned

Certified Professional Coder (CPC) or Certified Coding Specialist
Physician Based (CCS-P) required
Certified Outpatient Coding (COC) a plus
A minimum of three (3) years of coding experience within Podiatry and/or foot and ankle orthopedic surgery, wound care a plus
Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines
Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment
Demonstrates commitment to continuous learning
Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Modernizing Medicine or EClinical Works a plus
Excellent verbal and written communication skills
Proficient touch-typing skills
Ability to focus for extended periods
Ability to manage multiple priorities and projects
Excellent time management skills
Ability to lead by example

Balance Health

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