The Medical Record Coder will be responsible for working coding edits (Hospital & Professional) by adhering to CMS and payor guidelines (e.

g., medical necessity, bundled / unbundled, and non-covered services) Review and resolve all assigned work queues and adhere to productivity standards.

As well as research policies and procedures and make recommendations regarding discrepancies with billing and coding.

Job Responsibilities

Review physician documentation for appropriate (CPT 4, ICD10, and HCPCS) coding

Analyze data related to missing charges

Reconcile EEG studies against the professional billing inpatient procedure note charge report

Identifies principal and secondary diagnosis and assign appropriate ICD10 code in the correct sequence

Requirements

High school diploma / GED

CPC Certification from the American Academy of Professional Coders & Maintain their annual CEU credits mandated by the AAPC

Proficient EPIC user & understanding of Excel

Knowledge of the principles and procedures of coding

Knowledge of all types of insurance plans including HMO and managed care as well as covered benefits

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Related Keywords : Physician Coding, Medical Coding, Professional Coding, Profee Coding

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