2 coder specialist iii jobs found

Overview: The Documentation and Coding Consultant 1 provides training, consultation, review, and feedback to clinicians on their medical service documentation and coding to ensure KPNW receives appropriate reimbursement and conforms to applicable guidelines and regulations. This is a hybrid position that is a blend of working both remotely and in office. Must reside in the Northwest Service Region (Oregon or Washington). Major Responsibilities / Essential Functions: Consulting and Coding services Provides expert consultation to specialists or primary care clinicians as assigned on coding and documentation education and questions. Within assigned clinical specialties, maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Follow coding specificity guidelines using coding rules and guidelines. General coding knowledge and understanding of Risk Adjustment models and submission...

Coding Specialist II Akron Children’s Job Description Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote  Summary: The Coding Specialist II provides training, mentoring, and leadership to Coding Specialist I employees.   Responsibilities: 1. Provides training, mentoring, and leadership to Coding Specialist I employees. 2. Provides daily reconciliation of all clinical services provided. Performs coding function through review and analysis of electronic, paper, or hybrid patient medical records and assigns CPT, HCPCS and ICD codes accordingly, prior to charge entry. 3. Reviews EPIC charge review work queues daily for coding/billing errors and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue, prior to charge entry. 4. Conducts prospective reviews of all surgical or procedural visits reviewing documentation for appropriate CPT, HCPCS, and ICD code assignment, prior to charge...