Medical Coding Specialist
1 day ago
Catalyst Medical Group LLC is seeking a skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for evaluating medical records and charging tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT).
Key Responsibilities:
- Evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with ICD-10-CM and CPT.
- Responsible for coding daily charges, coding radiology charges, and accounts for coding and abstracting of patient encounters.
- Researches and analyzes data needs for reimbursement and identifies documentation deficiencies.
- Reviews and verifies documentation that supports diagnoses, procedures, and treatment results.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions and identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
Requirements:
- High school Diploma
- Coding experience or course
- Knowledge of CMS coding and documentation guidelines
- Knowledge of third-party physician service coding and billing practice
Preferred Qualifications:
- 2+ years of work experience as a Medical Coder
- Proficient computer skills
- Administrative writing skills
- Work with coding software
- Outstanding organizational skills
- Ability to maintain the confidentiality of information
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