Certified Medical Coder

CenterWell Senior Primary Care•The Villages, FL

4d•Onsite

About The Position

Become a part of our caring community As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location : CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation. Review all FFS and UHC MA notes from encounters from prior day. Review diagnosis codes to ensure that the codes are specific to clinical documentation properly. Ensure that claims are accurate and clean before submission utilizing appropriate coding tools. Resolve coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists . Collaborate with provider to obtain codes/information necessary to submit claims. Review assigned providers upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to the provider to validate and subsequently address. Conduct chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines. Use your skills to make an impact

Requirements

High school diploma or equivalent
CPC, CCS, or CCA
2 years medical coding experience
Experience in interpreting medical records; electronic and paper
Experience in interacting with physicians regarding coding requirements

Nice To Haves

College coursework preferred
IV Certification
CRC

Responsibilities

Timely, accurately coding and filing claims to minimize the number of claim rejections and denials.
Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider.
In accordance with correct coding guidelines, correct codes and notify provider as needed.
Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses.
Utilize CPT/HPCS to assign and sequence all codes for services rendered.
Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
Review all FFS and UHC MA notes from encounters from prior day.
Review diagnosis codes to ensure that the codes are specific to clinical documentation properly.
Ensure that claims are accurate and clean before submission utilizing appropriate coding tools.
Resolve coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists .
Collaborate with provider to obtain codes/information necessary to submit claims.
Review assigned providers upcoming schedules to identify M.A. patients.
Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to the provider to validate and subsequently address.
Conduct chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.