Play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes.
Responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations.
Manage assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.
Identifies need for medical records from outside the organization and follows established procedures to obtain.
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Consults with physicians/providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes.
Requirements
2+ years of professional coding experience is required.
Pediatrics coding experience strongly preferred.
Certified Coding Associate (CCA)
American Health Information Management Assoc (AHIMA) Or Certified Coding Specialist
Physician-based (CCS-P)
American Health Information Management Assoc (AHIMA) Or Certified Outpatient Coder (COC)
American Academy of Professional Coders (AAPC) Or Certified Professional Coder (CPC®)
American Academy of Professional Coders (AAPC) Or Registered Health Information Administrator (RHIA)
American Health Information Management Assoc (AHIMA) Or Registered Health Information Technician (RHIT)
American Health Information Management Assoc (AHIMA) Or Certified Professional Coder Apprentice (CPC-A)
American Academy of Professional Coders (AAPC) Or Certified Coding Specialist (CCS)
American Health Information Management Assoc (AHIMA).
Benefits
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.