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Certified Medical Coder

1 month ago

Chicago, United States Heart & Vascular Partners Full time
Job DescriptionJob Description

Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking a Certified Medical Coder As the Certified Medical Coder you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you

Essential Functions of the Role:

  • Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
  • Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
  • Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
  • Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
  • Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
  • Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
  • Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
  • Educates and advises staff on proper code selection, documentation, procedures, and requirements.
  • Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.

Minimum Qualifications:

  • Knowledge of ICD-10-CM coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
  • Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
  • Ability to read and interpret medical procedures and terminology.
  • Ability to develop training materials, make group presentations, and to train staff
  • Ability to exercise independent judgment;
  • Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
  • Ability to maintain confidentiality.

Education and Experience:

  • Possession of a Certified Cardiology Coder designation (CCC) issued by AAPC
  • Possession of a Certified Professional Coder designation (CPC) issued by AAPC; or
  • Possession of a Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association

Remote Work Requirements

  • Must be available to work during scheduled work hours, except for lunch and breaks
  • A quiet, distraction-free environment
  • High-speed private internet connection
  • Respond to all non-urgent calls and emails within 1 business day
  • Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work
  • Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off.

Work Environment

This position is a Remote position Monday- Friday from 6:00 am – 6:00 PM.

Physical Requirements

This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.

Equal Employment Opportunity Statement

We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Salary and Benefits

Full-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.

The statements contained herein are intended to describe the general nature and level of work performed by the Certified Coding Specialist, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.