Responsibilities:Expertise in medical record review to abstract information required to support accurate Inpatient coding
Expertise in assigning accurate ICD-9-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the Inpatient setting.
Applying advanced knowledge of medical terminology , anatomy and physiology, treatment modalities , diagnostic test, medications
Adhere to the HAAD Claims and Adjudication rules and coding guidelines
Providing orientation and coding education to coders, pre-authorization co-coordinators, denial prevention specialist , physicians and nurses regarding documentation and query effectively to ensure better documentation
Acts as a resource when necessary for billing, pre-authorization and reimbursement issues and outpatient coding.Requirements:Degree in any related field preferably life science background.
CCS (AHIMA) or CPC (AAPC) certification is required.
Minimum of five (6) years Outpatient coding experience in any setting i.e., hospital, clinic, or other related healthcare field is required.
In addition to medical coding, knowledge of billing process will be a plus.
Both inpatient and outpatient coding experience preferred.#J-18808-Ljbffr