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Medical Coding And Billing Assistant 2
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Full-time
- Position Focus: Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 2 is responsible for all aspects of accurate charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines.
- Based on a high level of medical knowledge of human anatomy and physiology in specialized medical fields and procedures, reviews and revises the coding of medical professionals, including physicians and APPs. Advises medical professionals and D-level Coding Specialists in order to ensure accuracy of coding and reimbursement of claims and compliance with government regulations and third-party carrier requirements.
- Reviews operative and diagnostic reports, as well as procedures and E&M service documentation to validate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers with consideration given to charge review edits within work queues for Yale Medicine patient clinical services.
- Required Education and Experience Six years of related work experience, four of them in the same job family at the next lower level, and a high school level education; or four years of related work experience and an Associate degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education.
- Comprehensive knowledge of ICD-10, CPT, HCPCs & modifier coding, medical terminology, human anatomy, & digital coding resources/software.
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