Hours of Work: 8a-430p Days Of Week: M-F Work Shift: Job Description: Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.
Reports to Coding Manager
Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; COBGC preferred
High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information to healthcare professionals
Responsible for the review of medical record documentation for accurate and compliant assignment of CPT, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services.
Will primarily review charges for Maternal Fetal Medicine and OB/GYN clinic Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery. Charge Review work queues containing CPT, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder's pre-claim review. This work queues contain charges that require a coder's astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer. Participates in education programs and monthly department meetings. Maintains 90% or higher coding accuracy. Maintains department required production. Other duties as assigned.