Medical Coder-Ambulatory Procedure Visit Specialist
4 weeks ago
About the Role:
The Arora Group is seeking a highly skilled Medical Coder-Ambulatory Procedure Visit to join our team. As a Medical Coder-Ambulatory Procedure Visit, you will be responsible for assigning accurate codes to encounters based on provider responses to queries and reports all queries and responses in accordance with established guidelines.
Key Responsibilities:
- Have advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
- Monitor the ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided.
- Maintain technical currency through continuing education and training opportunities.
- Review encounter and/or record documentation to identify inconsistencies, ambiguities, or discrepancies that could cause inaccurate coding, medico-legal repercussions, or impacts quality patient care.
- Develop and submit a written query in accordance with established guidelines to the provider to request clarification of provider documentation that is conflicting, ambiguous, or incomplete in regards to any significant reportable condition or procedure.
Requirements:
- Associate's Degree or higher in Health Information Management; OR a certificate from an university in medical coding; OR at least 30 hours of university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR successful completion of an American Academy Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy/physiology, health information management concepts, and pharmacology.
- Four years of medical coding and/or auditing experience in at least two or more medical, surgical, and ancillary specialties within the last 10 years.
- A minimum of one year of performance in the specialty is required to be considered qualifying.
- Possess either the Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CSS-P), this will satisfy the certification needed from the Professional Services Coding Certifications.
- Possess either the National Alliance of Medical Auditing Specialists (NAMAS) or the Certified Evaluation and Management Auditor (CEMA). This will satisfy the Evaluation and Management (E&M) Auditor Certification.
- Possess either the Certified Outpatient Coder (COC) or the Certified Coding Specialist (CCS). This will satisfy the Institutional Coding Certification requirement.
What We Offer:
- Competitive pay
- 10 days paid time off per year plus 7 sick days per year
- 10 paid Federal holidays
- Health & Welfare allowance mostly covers the cost of health insurance, long and short-term disability, and life insurance
- Dental and vision plans offered, 401(k)
About The Arora Group:
The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces.
Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.
EOE AA M/F/Vet/Disability
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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