Overview
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationships with physicians and other stakeholders. Primary coding responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services done in an office setting.
Responsibilities
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationships with physicians and other stakeholders. Primary coding responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services done in an office setting.
Qualifications
Education: H.S. Diploma or General Education Degree (GED) Required
Coding Certificate program (AAPC accredited) is Preferred
Work Experience
No experience required
Coding experience Preferred
Remote coding experience is Preferred
Licenses and Certifications
One or more of the following certifications: Required
RHIA - Registered Health Information Administrator
RHIT - Registered Health Information Technician
CCA - Certified Coding Associate
CPC or
CPC-A or
CPC-H or
CCS or
CCS-P or
Business Unit
Company Name: Piedmont Healthcare Corporate
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