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Coder - Certified

Coder - Certified

Catalyst Medical Group LLCLewiston, ID, US
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Job Description

Job Description

Description :

The Certified Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT).

General : Performance Expectations

  • Responsible - works independently, in a safe and appropriate manner. Demonstrates both problem-solving and problem-prevention skills.
  • Sensitive - displays sensitivity to the needs of patients and co-workers. Demonstrates good communications skills and empathy.
  • Timely - recognizes time as a customer's most valuable resource and responds promptly to patients' and co-workers' needs.
  • Accurate - works carefully and precisely, with attention to detail.
  • Coordinated - organizes and delivers service in the proper order. Displays good organization skills and utilizes resources wisely.
  • Thorough - meets all the requirements of his / her position. Is able to evaluate and follow up on his / her services.

Role Specific : Work role responsibilities

  • Coding daily charges
  • Coding radiology and surgery charges
  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
  • Researches and analyzes data needs for reimbursement.
  • Analyzes medical records and identifies documentation deficiencies.
  • Reviews and verifies documentation supports diagnoses, procedures and treatments.
  • Identifies diagnostic and procedural information.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
  • Follows coding conventions.
  • Serves as coding consultant to care providers.
  • Identifies discrepancies, potential quality of care, and billing issues.
  • Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
  • Identifies reportable elements, complications, and other procedures.
  • Assists lead or supervisor in orienting, training, and mentoring staff.
  • Handles special projects as requested.
  • Knowledge of medical terminology and anatomy and physiology.
  • Demonstrated strong written and verbal communication skills.
  • Healthcare systems knowledge.
  • Proven work experience as a Medical Coder or similar role.
  • 2+ years of work experience as a Medical Coder.
  • Proficient computer skills.
  • Administrative writing skills.
  • Work with coding software.
  • Outstanding organizational skills.
  • Ability to maintain the confidentiality of information.
  • Requirements : Required

  • High school Diploma
  • Billing and coding knowledge
  • Coding Certification through AAPC or AHIMA
  • Knowledge of CMS coding and documentation guidelines.
  • Knowledge of third-party physician service coding and billing practice.
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    Coder - Certified • Lewiston, ID, US