Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.
Accurately deciphers charge error reasons and plans follow-up steps.
Identifies all billable services.
Reviews all applicable data sources.
Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record.
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Provides education around documentation improvement for maximum patient care.
Works to improve billing based on findings/resolution of errors.
Requirements
High school diploma or equivalent
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.