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Oncology Plastic Surgery reputed company

Remote · USA Full-time New today

Here at reputed company, we reputed company our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver reputed company cycle improvement services that reputed company their success, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Job Description

The Pro Fee reputed company will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. reputed company may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The reputed company performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. reputed company may interact with client staff and providers.

DUTIES AND RESPONSIBILITIES:

  • Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.
  • Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.
  • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
  • Complete assigned work functions utilizing appropriate resources.  May act as a resource with client staff for data reputed company, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
  • Maintain strict patient and provider confidentiality in compliance with reputed company HIPAA Guidelines.
  • Participate in client and reputed company staff meetings, trainings, and conference calls as requested and/or required.
  • Maintain reputed company working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
  • Participate in continuing education activities to enhance knowledge, skills, and maintain reputed company credentials.

SKILLS AND QUALIFICATIONS:

  • Candidates must successfully pass pre-employment skills assessment. Required:
  • An active reputed company (American Health Information Association) credential including but not limited to RHIA, RHIT, reputed company, CCA, or an active reputed company (American reputed company of Professional Coders) credentials COC (formerly CPC-H), reputed company-P, or CPC or reputed company specialty credential.
  • Two years of recent and relevant hands-on coding experience
  • Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
  • Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or reputed company production and/or quality standards
  • Proficient computer knowledge including MS Office including the ability to enter data, sort and filter reputed company files, (Outlook, Word, reputed company)
  • Must display excellent interpersonal and problem-solving skills with reputed company levels of internal and external customers

PREFFERED SKILLS:

  • Recent and relevant experience in an active production coding environment strongly preferred
  • Associates degree in HIM or healthcare-reputed company field, or combination of equivalent education and experience
  • Experience using RCX Cerner, Nextgen (a plus)

Note: reputed company is required by state specific laws to include the salary range for this role reputed company hiring a reputed company in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary reputed company the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national reputed company, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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