Facility Claim Edits & Denials Medical Coder
IKS Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $23 - $26 per hour
About the role
- Review medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
- Select the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
- Ensure appropriate DRG assignment.
- Abstract appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
- Consistently meet productivity and quality performance requirements.
- Responsible for utilizing company applications to enter charts coded in real-time throughout the scheduled shift.
- Solicit clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
- Participate in team meetings and all training required by company staff or the client.
- May be asked to participate in training or shadowing of other coders.
- Flexibility in assignment over multiple clients to ensure meeting required classification hours.
- Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.
- Maintain current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
- Participate in education modules as assigned.
- Responsible for keeping coding credentials up to date and active.
Requirements
- Must have a minimum of 3 years or more of related coding experience- Facility Claims Edit/ Denial
- CPC, COC, CIC, CCA, CCS, CCS-P, RHIT or RHIA
- Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
- Extensive knowledge of ICD-10-CM and CPS and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing.
- Must pass coding proficiency test.
- Strong interpersonal communication skills, both verbal and written.
- A high level of coding accuracy and attention to detail.
Benefits
- healthcare
- 401 (k)
- paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10-CM codingCPT codingmedical record abstractionDRG assignmentcoding proficiencyfacility claims editdenial managementcoding accuracyhealthcare documentationreimbursement systems
Soft skills
interpersonal communicationverbal communicationwritten communicationattention to detailflexibilityteam collaborationproblem-solvingtraining participationpresentation skillsclarification solicitation
Certifications
CPCCOCCICCCACCSCCS-PRHITRHIA