Medical Coder

* Activities related to abstraction and charge submission of professional services. * Conducts special reviews of medical records as needed by the Coding Department. * Reviews documentation to ensure accurate coding of procedures and diagnoses in accordance with ICD-9-CM/ICD-10-CM and CPT manuals. * Initiates measures to bring documentation into compliance under the Coding Manager's direction. * Establishes and implements procedures to facilitate appropriate charge submission for inpatient/outpatient services, maintaining a 95% accuracy score in charges submitted as monitored by the Coding Manager. * Establishes and maintains a system to track and analyze everyday workflow. * Assures all charges have been entered by performing monthly reviews to compare scheduled visits/procedures with charges entered. * Performs ongoing medical record review, using documentation guidelines, to evaluate overall quality and completeness of documentation. * Serves as a resource to all staff to keep them informed of legislative and procedure changes affecting reimbursement. * Prepares weekly status report for Coding Manager relative to activity, revenue, compliance, lost revenue, etc. * Attends all Coding Department Meetings, educational sessions, assists other coding staff with issues/reimbursement guidelines as needed. * Responsible for all site claim rejections including research, education, corrections necessary to accurately finalize the claim. * Keep current with education requirements associated with credential. * Successfully complete ICD-10-CM proficiency assessment. Knowledge, Skills, and Requirements: * Current certification as a CPC-A, CPC or at least five years of experience in the medical billing and coding field, with the requirement of obtaining CPC credential within 12 months of employment * Excellent oral and written communication skills * Ability to process large quantities of data into succinct reports for presentation * Ability to work independently to meet quotas, goals and deadlines * Knowledge of third-party physician reimbursement procedures * Knowledge of Coding Conventions and Guidelines * Knowledge of Microsoft Word, Microsoft Excel * Ability to work well with others, as well as ability to work independently * Ability to communicate clearly and effectively to physicians, supervisors and office staff * Ability to work focus in an environment that may cause distraction * Excellent problem solving skills * Effective time management skills * Willingness to be challenged and learn new things Job Posted by ApplicantPro