Overview of Positions
Provides the necessary functions pertaining to medical coding and auditing.
High School Diploma or GED, Associate degree/certification preferred, 1-2 years experience in health insurance and/or healthcare industry knowledge is required. Hold credentials thru AAPC with a minimum of three years’ experience with CPT/ICD10/HCPCS coding of physician services. Previous medical chart auditing experience preferred.
Good oral and written skills. Excellent computer skills. Knowledge of insurance industry and medical terminology/anatomy required. Detailed oriented with strong organizational skills. Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
Essential Job Functions:
Review assigned charts for correct ICD10 and CPT coding.
Work with team members to educate providers on proper coding.
Serves as an integral member of the Medical Chart Audit Committee.
Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
Must maintain coding credentials thru AAPC.
Ability to research coding questions in order to remain compliant for with third party and regulatory guidelines.
Perform other assigned duties.
Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected within normal limits is required. Must have manual dexterity to key in data, grab, grip, hold, tear, cut, sort, and reach.