North East Medical Services
Daly City, CA, USA
The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
ESSENTIAL JOB FUNCTIONS:
Performs pre-appointment HCC or risk adjustment chart reviews, coding audits, or other coding-related projects
Acts as internal resource for all coding inquiries from providers, Billing, Laboratory, Radiology, and other departments.
Provides real time coding consultation and review and evaluation of...