Manchester, New hampshire
Medical Coder Job Opening in Manchester, New hampshire - Under the general direction of the Director of Revenue Integrity, this position is responsible for coding for Manchester Community Health Center?s professional practices. This position is responsible for ensuring the appropriate diagnostic codes, CPT codes and modifiers according to CMS coding Guidelines and CMS Correct Coding. Coding, auditing and entering all visits, services, and procedures performed in the office, ambulatory surgical center, and hospital setting using correct CPT & ICD-10 codes.
KEY RESPONSIBILITIES
Reviews documentation for appropriate diagnosis and procedure code assignment of professional encounters using the ICD-10-CM, CPT, and HCPCS coding systems.
Adheres to outside regulations and requirements, state reporting mandates, and provides coding to minimize the number of days in receivables.
Meets or exceeds productivity and quality standards.
Communicates with managers and staff for documentation needed for accurate coding and billing. Provide real-time feedback to providers as it pertains to proper coding and clinical documentation of services performed.
Seeks clarification from the provider via face-to-face or via electronic messaging when documentation is absent, ambiguous or contradictory.
Adheres to the Standard Operating Procedure for Provider-Coder Discrepancies.
As per the SOP, provides feedback to providers regarding appropriate documentation for coding. Refers to supervisor any documentation trends that require provider education.
Maintains positive working relationships with providers, clinical staff, management, and co-workers.
Works independently and takes initiative to identify opportunities to maximize efficiencies.
Uses root-cause analysis to recommend process improvements relating to epic work queue and GE Centricity CPS process flow
Participates in ICD-10 readiness initiatives.
Participates in new provider education as determined by leadership.
REQUIRED KNOWLEDGE & SKILLS
Maintains an in-depth knowledge of the software system in areas related to coding.
Maintains coding credentials through participation in continuing education activities.
ICD-10-CM, CPT, and HCPCS coding knowledge.
Ability to code high severity and highly complex cases including, but not limited to surgeries and/or procedures.
Knowledge and understanding of coding edits.
Understanding of payer billing rules including provider based billing.
Possesses effective and professional written and oral communication skills.
Accepts constructive feedback and makes necessary changes to correct or improve situations.
Uses computers and related software proficiently.
Ability to work with excel spreadsheets.
Education: High school diploma or equivalent required.
Experience: Three (3) to five (5) years of multi specialty coding experience required.
: Current AHIMA or AAPC Coding Certification(s) CCS, CCS-P, CPC, or COC required.
Software/Hardware: Experience with Centricity, Supercoder, 3M encoder, and Microsoft Office applications preferred.
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Medical Coding: 1 year
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