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About the role
Key responsibilities & impact- Responsible for resolving coding account edits of multiple patient types prior to billing
- Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes
- Maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
- Reconcile held accounts by resolving the edit and dropping the account
- Responsible for all account edits from various payors and vendors
- Identify and report major edit issues
- Assist in identifying problems and resolution thereof
- Identify opportunities to reduce coding edits by providing proactive education
- Communicate quality issues to management as appropriate
- Maintain required productivity and quality requirements
- Maintain coding credential requirements
Requirements
What you’ll need- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 2 years’ coding experience preferred
- Must have up to date knowledge of third-party rules and regulations
- Epic & 3M experience preferred
- Must have facility (HB) IP/OP experience with Claims/Denials
Benefits
Comp & perks- 401(k) with company match and discretionary profit sharing
- group medical, dental, vision, life, & short-term disability insurance
- PTO policy
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMCPTHCPCS Level II Codescoding account editsclaims processingdenials managementproductivity standardsaccuracy ratecoding experiencethird-party rules and regulations
Soft Skills
problem solvingcommunicationattention to detailproactive educationquality assurance
Certifications
AHIMA coding credentialAAPC coding credential
