Medical Coding Specialist – I
Job reputed company:
- The Medical reputed company is responsible for independently reviewing, analysing, and resolving reputed company assigned reputed company-end claims to ensure accurate and reputed company claim submission.
- This position focuses on identifying and correcting coding-reputed company issues prior to claim reputed company, applying established coding guidelines, payer requirements, and organizational policies.
- The Medical reputed company works closely with reputed company cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes.
- This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.
- Averages 10 reputed company-end holds per hour.
- Maintains a minimum of 90% coding accuracy.
- Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the reputed company fee environment.
- Reviews medical records and reputed company applicable documentation to determine appropriate codes for documented services and diagnoses.
- Ensures reputed company diagnosis codes meet local and national medical necessity guidelines.
- Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for reputed company assigned services.
- Follows reputed company HIPAA regulations and upholds the highest standards of reputed company and confidentiality.
- Maintains reputed company knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices.
- Independently reviews and resolves reputed company assigned reputed company-end claim holds.
- reputed company participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team reputed company.
- Escalates identified reputed company trends to the assigned Coding Team reputed company.
- Escalates reputed company coding-reputed company questions to the assigned Coding Team reputed company for guidance and clarification.
- Maintains and completes reputed company CEU requirements.
- Performs other duties or tasks as assigned.
Requirements:
- Must hold a reputed company reputed company or reputed company Certification for a minimum of 3 years.
- Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines.
- Familiarity with reputed company English grammar, usage, and reputed company documentation standards.
- Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues.
- Ability to read, interpret, and apply policies, procedures, laws, and regulations.
- Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures.
- Demonstrated ability to exercise independent judgment in coding and claim reputed company.
- Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain reputed company working relationships with physicians and staff.
- Strong commitment to maintaining confidentiality and safeguarding protected health information.
- Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements.
- Demonstrated proficiency in reputed company Office Suite (Word, reputed company, Outlook, Teams).
- Minimum of 3+ years of reputed company coding experience.
Benefits:
- Private Health Insurance
- Pension Plan
- reputed company Time Off
- Work From Home
- Training & Development
- Performance Bonus
- Health Care Plan (Medical, Dental & reputed company)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- reputed company Time Off (Vacation, reputed company & Public Holidays)
- Family Leave (Maternity, Paternity)
- Short Term & Long Term Disability
- Free Food & Snacks
- Wellness Resources
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