This position directly supports physicians and clinical staff, ensuring the highest quality of care is provided to patients.
Applicants will be responsible for the following:
- Analyze supporting medical record documentation for professional services to ensure that appropriate ICD-10-CM, CPT, HCPCs codes are assigned according to established correct coding guidelines and standards of ethical coding.
- Consult with clinical providers for coding and documentation clarification when necessary.
- Conduct prospective and retrospective clinical documentation and coding reviews.
- Provide individual and group feedback and education to clinical providers, medical staff and other staff as a result of the coding reviews and identified coding trends, in accordance with the established compliance plan.
- When provider documentation issues are identified, work with clinical operations and compliance staff to implement corrective action plans.
- Create and revise education and training materials related to documentation & coding
- Answer coding questions from providers and other staff as needed.
- Maintain plan for monitoring and tracking of coding and coding compliance activities.
- Work in conjunction with clinical operations team to evaluate any special requests for review of appropriate coding due to patient complaints, denials, rejections, incorrect coding, etc., and provide feedback to the inquiring source.
- Ongoing review and tracking of insurance rejections/denials with coding discrepancies, contacting insurance companies when necessary.
Job Type: Full-time
Pay: $25.00 - $27.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- ICD-10: 5 years (Required)
Work Location: In person