About this role
Role Overview
- Reviews and/or assigns CPT and/or diagnosis codes (ICD-10-CM, including HCC risk adjustment) for primary care and/or specialty clinic services (E&M, office procedures, inpatient hospital rounding, OB services, outpatient general practice procedures, etc.) with a high degree of accuracy.
- Performs documentation reviews with the use of department auditing tools, shares results with providers and auditing team, and identifies educational opportunities.
- Collaborates with providers, clinical team members, and/or other departments when completion or clarity is needed within the medical record to accurately complete coding functions.
- Manages and maintains coding inventory responsibilities related to payer denials and claim edits to ensure timely reimbursement for services provided.
- Researches payer policies.
- Manages and maintains operational coding functions to ensure charge capture of all billable services.
- Performs world class service to our customers, responding timely and professionally to inquiries.
Requirements
- 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
- One year of experience in general medical or specialty coding
- Coding certification through AAPC or AHIMA (CPC, CPC-A or CCS or CCS-P)
Benefits
- Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
- Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare