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Coder/Auditor


Clarksburg, West virginia


Coder/Auditor Job Opening in Clarksburg, West virginia - JOB SUMMARY OR OVERVIEW:
The Coder/Auditor is responsible for a variety of duties, as assigned by supervisor, such as:
Proper coding of the patient?s condition.
Appropriateness of documentation for select conditions.
Patient identification documented in the medical records.
Perform clinical reviews with knowledge of body systems, anatomy and physiology.
Sequence the diagnosis and procedures using the coding guidelines.
Abstract and compile data from medical records for appropriate optimal reimbursement for facility and/or professional charges.
Maintain entries into tracking logs for coding completion and any discrepancies found during review of documentation.
Remain current on all billing/coding updates and CPC credentials.
Scrubbing claims, and correct coding errors.*
Answer incoming billing related calls
Posting of payments made in person at satellite offices.
Other duties as assigned.
REQUIRED MINIMUM KNOWLEDGE, SKILLS AND ABILITIES :
Excellent analytical and problem solving skills
Audit and medical chart review experience required.
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD9CM, ICD-10 CM, CPT4 and HCPCS coding guidelines to surgical and outpatient diagnoses and procedures.
Maintain a thorough understanding of medical record practices, standards, regulations, Accreditation Association for Ambulatory Health Care (AAAHC), Center for Medicare and Medicaid Services (CMS), and the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) Code of Ethics.
Ability to prioritize and reprioritize multiple tasks to achieve goals.
Ability to absorb and retain large quantities of information.
Ability and willingness to work as a team member required.
Excellent verbal and written communication skills, including telephone skills, required.
Computer skills required.
Prior customer service experience is desirable
Job Type: Full-time
Required experience:
Coding: 1 year
Required license or certification:
Certified Professional Coder (CPC)

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