MediRevv Certified Professional Coder - Denials Focus in Iowa City, Iowa
Title Certified Professional Coder
Department Coding Services
Wage Category Hourly, Non-exempt
Reports to Manager, Coding Services
Location TBD or remote
Salary range Commensurate with experience
Under the directions of the Manager, Coding Services, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement.
Must have strong, demonstrated experience with EPIC, denials and follow up
Reviews and analyzes patient records according to current compliance policies and providers documents are compliant.
Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers
Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
Monitors regulatory and payer changes as they apply to diagnostic and procedure coding
Researches and resolves coding related system edits, payer rejections and insurance denials.
Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.
Participates in developing, implementing, and reviewing:
Programs for coding compliance monitoring
Criteria for benchmark comparisons
Organization’s policies and procedures
Providers clinical documentation improvement
Reports and applications supporting HCC/Risk Adjustment program
Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material.
Other duties as assigned.
Knowledge / Skills / Abilities:
Possess strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization including the ability to effectively communicate and provide feedback to physicians
Ability to work under general supervision
Ability to work in a fast-paced department and handle multiple task, work with interruptions, and deal effectively with confidential information to meet departmental productivity expectations
Possess excellent telephone etiquette, presentation skills and problem resolution skills
Must have dependable transportation and valid driver’s license.
Computer skills including Microsoft Office Suite
Must be highly organized and detail-oriented
Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information.
Cooperates fully in all risk management activities and investigations for QM purposes.
Minimum Position Qualifications:
High School diploma or equivalent required
Must have Pro Fee coding experience
Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.
Nationally recognized coding credential including, but not limited to: CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC
Preferred Position Qualifications:
EPIC experience highly desired and demonstrated experience with denials and follow up preferred
Content experts in your specialty preferred
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