Certified Medical Coder (On-Site) - J. Morrissey

CERTIFIED MEDICAL CODER

We are searching for a Certified Medical Coder for our client located in The Villages, FL.  This is a Permanent Role, on site.  You will be
accountable for timely, and accurately coding and filing claims to minimize the number of claim rejections and denials.

• Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider. In accordance with correct coding guidelines, correct codes and notify provider as needed. 
• Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses. 
• Utilize CPT/HPCS to assign and sequence all codes for services rendered 
• Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with medical record documentation.
• Review all FFS and UHC MA notes from encounters from prior day.
• Review diagnosis codes to ensure that the codes are specific to clinical documentation properly.
• Collaborate and provide feedback to providers when questions arise where a code might need to be edited or added according to correct coding guidelines and requirements.
• Ensure that claims are accurate and clean before submission utilizing appropriate coding tools.
• Resolve coding issues in the Athena Workflow Dashboard “Hold” cues as well as the Assigned Claim Worklists . Collaborate with provider to obtain codes/information necessary to submit claims.
• Review assigned providers upcoming schedules to identify M.A. patients. Audit M.A. patient chart for any HCC diagnoses (retrospective, prospective or suspected) that need to be brought forward to the provider to validate and subsequently address.
• Comply with all legal requirements regarding coding procedures and practices.
• Conduct chart audits and coding reviews to ensure all documentation is accurate and precise in accordance with correct coding guidelines.
• Work closely with compliance and department administrators on coding and documentation issues as they arise.
• Perform and share research regarding coding issues as requested.
• Assist and collaborate with billing department personnel as needed to ensure all bills are satisfied in a timely manner.
• Meet defined productivity standards 
• Maintain currency with established coding and insurance processing guidelines.
• Attend scheduled coding meeting as well as other scheduled meetings to provide coding input.

Education/Experience Requirements:

• High school graduate, some college coursework preferred. 
• 2 years medical coding experience. 
• Experience in interpreting medical records; electronic & paper. 
• Experience in interacting with physicians regarding coding requirements. 
• CPC, CCS, CRC required. 
• Extensive knowledge of CPT/HPCS and ICD9/ICD10 coding. 
• Extensive knowledge of anatomy and physiology. 
• Knowledge of medical documentation and requirements. 
• Excellent typing and 10-key speed and accuracy. 
• Excellent organization skills. 
• Effective communication skills both written and verbal, 
• Commitment to high level of customer service. 
• Proficiency in Microsoft products including Excel, Word, and Outlook.

Excellent benefits, outstanding work environment and excellent pay!