Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters, and manipulates database information, and responds to or clarifies internal requests for medical information.
Responsibilities
- Reviews codes created by electronic charge capture and/or assigns codes through medical record documentation in accordance with recognized coding guidelines.
- Reviews and resolves coding denials and claim errors related to improper coding.
- Abstracts data, reviews codes for accuracy, and performs system edit checks.
- Responds to coding information requests and communicates documentation improvement opportunities.
- Consults with internal customers and external vendors to clarify incomplete or inconsistent documentation.
- Performs other duties as assigned.
Requirements & Qualifications
Required Qualifications
- High school diploma or equivalent.
- 2 years of experience as a medical coder.
- Knowledge of ICD-10-CM, CPT, and HCPCS.
- Working knowledge of medical terminology and anatomy.
Preferred Qualifications
- Associate's degree.
- RHIA, RHIT, CCS, CPC, or CMC certification.
Location
New York, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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