2 jobs found in Quincy

Medical Coder (Hybrid) Minimum Salary US-MA-North Quincy Job Location 7 days ago(11/28/2023 3:23 PM) Requisition Number 2023-44648 # of Openings 1 Posted Date Day Shift Exempt Exempt/Non-Exempt Status Non Union Position -W60- Non Unit Professional Overview POSITION SUMMARY: Provides clinical coding expertise to Fee For Service Provider Networks (FFS) assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent and justifiable manner. Reviews clinical documentation and diagnostic results to extract data and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Codes inpatient and outpatient conditions and procedures as documented in ICD-CM Official Guidelines for Coding and Reporting and resolves errors associated with billing and claims processing. Identifies and reports error patterns and...

Description: POSITION SUMMARY: Reviews all surgical operative notes and medical documentation to ensure complete and accurate diagnosis and procedure coding using ICD 10 and CPT 4 coding classifications systems. Must be knowledgeable of all regulatory coding guidelines. ESSENTIAL FUNCTIONS: Code information from the operative report and the surgical encounter form. Reviews and assigns correct codes in accordance with new ICD 10 guidelines, CPT & and CCI guidelines. Identifies and codes principal diagnosis and procedures using ICD-10 and CPT-4 with accuracy using the seventh digit specificity to include laterality. Validates and appends appropriate CPT modifiers for correct billing and reimbursement. Work all coding, claim & charge edits in the applicable work queues. Identifies and codes multiple diagnoses and procedures using ICD-10 and CPT-4 to ensure that all secondary diagnoses noted by the physicians are supported by the service...