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Certified Professional Coder - REMOTE- Full Time
Metairie, LA, USPosted Yesterday
remote
Job Description
Certified Professional CoderAbility to successfully review medical record documentation for comprehensive, compliant and appropriate procedure and diagnosis code assignment, while meeting correct coding, and general billing and claims’ filing rules. The certified coder must maintain a professional relationship with hospital and clinical staff. The coder holding this position must be able to work as part of the integrated Revenue Integrity / Revenue Cycle team, including Revenue Cycle Directors, Revenue Integrity Auditors, fellow Coders, Coding Supervisor and Vice President of Revenue Integrity.
This position may have primary coding responsibilities to either Provider (Professional Services, WPS) and / or out-patient facility coding.
Primary Responsibilities:
Review and interpret medical record documentation to properly assign CPT (Current Procedural Terminology), HCPCS (Healthcare Common Procedure Coding System) and ICD-10 CM (International Classification of Diseases, 10th Clinical Modifications) codes according to current coding rules and instructions.
Verify that all necessary documentation is complete and suitable for coding purposes, both diagnosis and/or procedure.
Follow established query process for clinical teams and providers for any necessary clarification needed for proper code assignment, including any documentation that contains any unclear or unspecified notes.
Possess and utilize knowledge of code sequencing, for outpatient facility and/or professional services code edits and third-party reimbursement requirements as it relates to appropriately documented healthcare services.
Coordinate these responsibilities for multiple centers and/or providers.
Verify and/or confirm quality measures for MIPS reporting
Additional Responsibilities:
Performs other related duties as assigned.
Education and Technical Skills:
Certified professional coder, as credentialed by either AAPC or AHIMA
Proficient and highly knowledgeable of current coding and billing guidelines
ICD-10 CM
CPT
HCPCS
Appropriate use of modifiers
Proficient in Excel, Word and Outlook email software
Familiarity and / or experience with electronic medical records
Must have and maintain a valid driver’s license
Additional Eligibility Qualifications/Competencies:
General knowledge and understanding of basic HIPAA guidelines
Minimum of 2 - 3 years’ experience in medical coding, preferably in wound care and / or HBOT.
Possess excellent organizational skills
Be detail oriented and comfortable multi-tasking
Clear, concise and effective verbal and electronic communication skills
Possess strong interpersonal skills
Ability to work in a results-driven position
Work with coding team and leadership in a collaborative manner.
Be a leader in your field of expertise.
Physical Requirements:
This position requires periods of time in which sitting, standing, use of hand and foot motion, vision, hearing, summarizing, focusing with frequent interruptions along with other physical, sensory and cognitive sensory functions are required.
Note: The above is intended to describe the general content of and requirements for the performance of this job. It is not construed as an exhaustive statement of duties, responsibilities or requirements and may change at any time.
All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. RestorixHealth is an EO employer – M/F/Veteran/Disability