Hours:

Full-time, 40 hours per week; Monday-Friday 7:30am-4:00pm.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

Code medical records of all payor groups, using appropriate ICD-10-CM and CPT codes. Assign principal and secondary diagnoses and/or procedures utilizing current

ICD-10-CM

coding guidelines, Medicare NCD and LCD edits and Medicare CCI (Correct Coding Initiative) edits. Review entire medical record and assign Hierarchical Condition Codes (HCC) as appropriate Audit each coded medical record to assure that: Tests ordered are charged for; Charged items are ordered/documented in the record; Test results are documented in the record. Responsible for remaining up-to-date and knowledgeable of coding regulations (diagnostic and procedural) as well as remaining current about federal legislative changes that affect outcomes. Work closely with Medicare Reimbursement specialists.

QUALIFICATIONS

Education and/or Experience Current Certified Coding license Knowledge of ICD-10-CM and

ICD-10-PCS

coding system, or willingness to learn. Knowledge of current CPT coding principles and guidelines, or willingness to learn. Knowledge of Medicare/Medicaid/Insurance regulations; or willing to learn. Other Competencies Ability to maintain strict confidentiality in all hospital/patient related matters. Excellent written and oral communication skills including the English language. Computer skills necessary, experience with Electronic Health Record. Knowledge of medical terminology and human anatomy. Ability to communicate effectively with physicians, outside insurance reviewers, clinic personnel, nursing home personnel, patient's and patient families as well as other hospital departments. 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