4 coder iv jobs found in Pittsburgh

Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with flexible hours and work from home option. Responsibilities: Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Perform all coding functions, based on staffing needs and/or department requirements. Refer problem accounts to appropriate coding or management personnel for resolution. Maintain daily...

Coding Specialist Purpose: OUTPATIENT & INPATIENT CODING OUTPATIENT: Coding diagnosis & procedure codes ICD9 & CPT codes and charging for injections, infusions, hydrations, and observation hours. INPATIENT: Codes all inpatient accounts, diagnoses, and procedures. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-9-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing...

Purpose: Codes Ancillary outpatient accounts, diagnosis coding only. Codes Ancillary Service patient type (single visit service such as lab, x-ray, pathology specimen); requires ICD-9 diagnosis coding skills only. Coder reviews the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-9 code. Ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered- requires knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: Refer problem accounts to appropriate coding or management personnel for resolution. Meet appropriate coding productivity and quality standards within the time frame established by management staff. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational...

Coder Trainee Position Purpose: All responsibilities of coder trainee, coder I, II plus the following: Monitors and responds to accounts on Pre-Bill edit and error reports. Assists with training other coders as requested. Performs PHC4 coding corrections; provides feedback to coders who made errors. Monitors the Daily Cirius Error report to ensure that there are 0 accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Assists with special projects as requested. Responsibilities: Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective...