Outpatient Coding Specialist
4 weeks ago
Quadris Team, LLC - A Revenue Cycle Management Group, is seeking a skilled professional to join our Coding Excellence team as an Outpatient Coding Specialist.
Job Summary:The Coding Specialist is responsible for timely, accurate, and comprehensive abstraction of physician services from the medical record by utilizing knowledge of industry standard CPT and ICD-10 coding.
This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals, and mission, vision, and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience.
Key Responsibilities:
- Utilize technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code facility services and diagnosis codes (outpatient, surgical procedures, and/or diagnostic services).
- Follow Official Coding Guidelines and rules in order to assign appropriate CPT, ICD-10 codes, and modifiers with a minimum of 98% accuracy.
- Provide documentation feedback to clients and/or account managers.
- Maintain coding reference information.
- Review and communicate new or revised billing and coding guidelines and information with providers and their assigned specialty.
- Resolve pre-accounts receivable edits, making appropriate changes to incorrectly billed services, adding missing unbilled services, providing missing data as appropriate, correcting CPT and ICD-10 codes, and modifiers.
- May collaborate with Patient Accounting and other operational areas to provide coding reimbursement assistance, help identify and resolve incorrect claim issues, and may assist with drafting letters to coordinate appeals.
- May work with Revenue Cycle staff and Account Inquiry Unit staff as requested, assisting.
- Meet established minimum coding productivity and quality standards for each encounter type based on type of service coded.
- Professional-level communication expectations with video, phone, and email.
- Meet the quality and productivity measures as outlined by Quadris.
Requirements:
- Prefer 2 years of Hospital Coding experience.
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to structure your home office to ensure patient information is secure, meeting regulatory expectations.
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