Location and Work Details
Remote position after training on site (minimum 3 weeks) at the Dallas Campus.
Hours of Work: 8–4:30
Days Of Week: Monday–Friday
Work Shift: N/A
Job Relationships
Reports to Coding Manager.
Certification Requirements
Core coding certification credential from AAPC or AHIMA: CPC, CCS‑P required; CCC preferred.
Skills, Credentials, Professional Qualifications
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 plus 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 proficiency.
Ability to communicate written and oral coding information to healthcare professionals.
Job Summary
Responsible for 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 MMG healthcare provider community to advance the accuracy and payment of professional services.
Primary Responsibilities
Will primarily review charges inpatient and outpatient for Cardiology and Cardiothoracic providers. 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 necessary research into coding inquiries and following 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 Cardiology, Cardiothoracic, and Thoracic 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.
Benefits
Medical, dental, and vision insurance.
Matched retirement plan.
Employee wellness program.
#J-18808-Ljbffr