Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Job Objective:
Provides concurrent coding based on Eisenhower Medical Center Compliance protocols and all CMS published guidelines.
Job Description:
Education:
Required: High school diploma, GED or higher level degreeRequired: High school diploma, GED or higher level degree Licensure/Certification: Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT Experience: Required: Two (2) years of experience in coding as a certified coder
Preferred:
Licensure/Certification:
Required: Coding Certification (CPC, CCS, COBGC, CSC) or RHIT
Experience:
Required: Two (2) years of experience in coding as a certified coder
Preferred: Physician coding for inpatient, outpatient and procedures
Essential Responsibilities:
- Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
- Ensures quality of work performed through regular audits maintaining a
- Maintains daily productivity based on departmental standards.
- Sequences the ICD
- Abstracts and compiles data from medical records for appropriate optimal reimbursement for professional and facility based charges.
- Creates and submits providers queries when documentation does not support the code provided.
- Communicates with providers, office personnel and management personnel for needed documentation for accurate coding.
- Reviews Claim edits related to coding such as LCD,NCCI and MUE’s and assists with corrections for clean claim submission.
- Reviews the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using ICD-
- Assists with research and development and presentation of continuing education programs on areas of specialization.
- Reviews Operative notes and related documentation to accurately code the primary/secondary diagnoses and procedures using ICD-
- Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information.
- Provides assistance to customer service and follow up teams related to denials associated with coding or documentation questions.
- Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-
Essential Skils:
- Extensive reimbursement knowledge
- Coding software familiarity
- Written and verbal communication skills
- Proficient data entry skills
- Knowledge of Microsoft products with emphasis on excel
- Knowledge of advanced ICD-10-CM & CPT-4 coding conventions
- Knowledge of medical terminology, anatomy and physiology
