About The Position

You will analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary. In addition, you may be involved in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines.

Requirements

  • At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices.
  • At least 2+ years of relevant facility coding experience, specifically in Clinics (mandatory), Lab/Radiology (mandatory), ED, OBS, SDS, and/or Inpatient (strong preference for injection/infusion experience).
  • CPC, CCS, or CCS-P certification required
  • Effective communication, analytical and research skills with a keen attention to detail

Nice To Haves

  • Injection/infusion experience

Responsibilities

  • Analyze and interpret complex records to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes.
  • Assign/sequence billing codes in compliance with third party payor requirements.
  • Obtain clarification when presented with conflicting or non-specific documentation.
  • Review coding-related denials from payors and make recommendations to resolve claims based on payer guidelines.
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