RESPONSIBLE FOR:
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical,
diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest
specificity. Abstracts demographic and coding information into the information system accurately and
completely. Reviews documentation for medical necessity. Audits orders and claims before submission
for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical
guidance to physicians and other departmental staff in identifying and resolving issues or errors.
Develops effective working relationships with physicians and other stakeholders. Primary coding
responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services
done in an office setting.
Qualifications:
MINIMUM EDUCATION REQUIRED:
High school diploma or equivalent required.
MINIMUM EXPERIENCE REQUIRED:
None.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None.
ADDITIONAL QUALIFICATIONS:
One or more certifications required - CPC, CPC-A, CPC-H, RHIA, RHIT, CCS, CCA, CCS-P.
Coding Certificate program (AAPC accredited) is preferred.
Coding experience preferred.
Remote coding experience is a plus.
#GD
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