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This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
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Must have proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10 coding, modifiers, disease processes, surgical techniques, and Medicare and Medicaid billing policies for professional services.
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Responsibilities Reviews medical records to determine the ICD-10 CM and CPT-4 codes to be utilized, in accordance with coding and reimbursement guidelines. Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
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The Coding Specialist is responsible for Coding, auditing, and entering all surgeries and special procedures performed in the office, ambulatory surgical center, and hospital setting using correct CPT & ICD-10 and diagnostic codes.
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A Certified Professional Coder with extensive knowledge in anatomy, physiology and medical terminology. Identify and assign appropriate principal and applicable subsequent diagnoses, and procedure codes based on pathology and surgical operative reports, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
$30.26 - $46.93 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing.
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Understands and appropriately assigns all applicable modifiers to CPT procedure codes and ancillary charges required to prevent billing edits. Qualifications/Education/Training 1 to 2 years of Hospital observation coding in Medical Records Licenses and/or Certifications High School Diploma required, AHIMA or AAPC maintained credential required.
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Advance knowledge of medical codes involving selection of most accurate and descriptive code using the CPT codes for billing of third party resources. Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
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Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment.
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Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology. Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs.
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Position SummaryUnder the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
$31.55 an hourFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Proficiency in medical terminology, coding systems (e.g., ICD-10, CPT), and billing software. Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred.
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Assign appropriate ICD-10, CPT, and HCPCS codes to medical record documentation by applying physician specialty coding rules, third party payor guidelines, APC billing rules and Medicare Local Medical Review Policies.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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PRIMARY PURPOSE The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC),observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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