Consistently and accurately assigning appropriate designated codes to patient claims. This is achieved by reviewing information provided in the medical record.
Provide feedback to clients regarding issues such as excessive down coding and lacking documentation.
Collaborates with AR teams on follow-up and resolution of coding related denials and rejections.
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPS, and ICD-10 and 10 materials, Federal register, and other pertinent materials. Develop and deliver training on TELCOR.
Work with management team to develop, present and maintain strategic operating procedures (SOP) and training manuals.
Proactively oversee the activities involved in quality resolution of training issues, following issues through to completion.
Present materials and/or results to various audiences: staff, management, executive team.
Make informed recommendations to management regarding the learning and development of staff, system/process efficiencies and overall improvement strategies.
Actively participate in work flow discussions to maximize throughput and modify SOP & QA program as processes change.
Perform other tasks as assigned to support the goals of the organization.
CPC, national certification, through AAPC, RBMA or AHIMA is required.
Minimum two years’ coding experience preferred.
Experience coding physician or hospital based charts.
Job details are sourced from the employer's original posting.
