Job Description:
Pay Range: $70hr – $80hr
Responsibilities:
• 75% Perform Medical coding related responsibilities and ensure seamless assignment codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Follow up with the provider on any documentation that is insufficient or unclear
• Communicate with other clinical staff regarding documentation.
• Search for information in cases where the coding is complex or unusual.
• Receive and review patient charts and documents for accuracy.
• Ensure that all codes are current and active.
• Responsible to maintain important logs and documentation regarding the details of the tasks performed.
• Support an environment of accountability and management against goals.
• Collaborate with cross-functional teams to resolve issues identified from day to day working of claims 15% Identify and quantify work trends.
• Propose solutions to improve internal processes to facilitate a “touchless” revenue cycle.
• Work with internal teams across the Operations Division to prioritize and implement process improvements appropriately prioritized based on impact and business need
• 10% Accept full ownership and responsibility for special projects.
• Work with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business.
• Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.
Education And Experience Required:
• Bachelor’s degree or equivalent.
• 7 years’ experience in fast paced environment.
Knowledge And Skills:
• CPC or CCS or equivalent.
• Healthcare RCM knowledge, preferred.
• Analytical skills and good communication skills.
• Ability to clearly articulate actions taken and articulate next steps.
• MS office skills, required.
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