Medical Coding Expert
4 days ago
**Key Responsibilities:**
* Abstract and ensure the accuracy of diagnosis, procedure, patient demographics, and other required data elements
* Aids in the creation of training and educational coding guidance documents for physicians and MMG Associates
* Assists in developing guidance to clinicians in optimizing dictations to promote compliance and claim to process
* Contacts physician when conflicting or ambiguous information appears in the medical record
* Determines the sequence of diagnoses for accurate claims submission
* Employs knowledge of coding compliance, and directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement
* Guides and provides mentoring related to coding projects done by Coding Specialist I and Coding Specialist II to include review and correction of code selection based upon medical documentation
* Handles complex coding case review, including but not limited to surgical coding (Orthopaedics, Cardiac, Neurosurgery, Otolaryngology, etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation
* Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments
* Identifies coding trends relative to edits/denials/physician feedback
* Recommends policy and procedural changes and improvements for revenue enhancement
* Surveys Medical Professional Societies coding guidelines to ensure the usage of current coding combinations and rationale
**Requirements:**
* High School Diploma or GED required; Bachelor's degree preferred
* CPC (Certified Professional Coder) certification required
* 5-7 years Medical-professional coding experience with demonstrated ability to work independently required
* 2 years' experience leading others or leading a work stream required
* Experience with computer systems for encoding and abstracting required
* Ability to interact effectively with physicians, liaisons, department administrators, and associates
* Ability to work independently and practice self-direction
* Working knowledge of payer policies, CMS policies, local and national regulatory and compliance policies; regular utilization of all available coding resources
**About MedStar Health:**
MedStar Health is one of the largest healthcare systems in the Baltimore-Washington metro region, recognized as one of the "Healthiest Maryland Businesses". We offer a dynamic and supportive work environment, with opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for medical coding, we encourage you to apply for this exciting opportunity.
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