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Coder Professional
Job Description
Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.
Responsibilities
Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool., Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and
ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter., Assists with training new coding staff as requested., Codes all types of encounters as assigned and assists co-workers as needed., Codes and resolves clinic, hospitalist, ED, and applicable ancillary services professional encounters based on established production standards., Ensures data quality and optimum reimbursement allowable under the federal and state payment systems., Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded., Performs follow-up on encounters that need to be coded and resolved., Reviews and corrects all encounters that are rejected or denied., Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations.
Requirements
AS (Required), High School (Required)CCA - Certified Coding Associate - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association, Certified Evaluation & Management Auditor - Sarah Bush Lincoln, Certified Professional Coder-A - Sarah Bush Lincoln, Certified Professional Coder - Sarah Bush Lincoln, Registered Health Info Administrator w/in 2 yrs of hire - American Health Information Management Association, Registered Health Information Technician w/in 2 yrs of hire - American Health Information Management Association
Compensation
Estimated Compensation Range
$21.62 - $33.51
Pay based on experience
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