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Hospital Coder and billing specialist - Certified coder

  • Xpert Recruiters LLC
  • 01/26/19
  • Rancho Mirage, CA
  • 92270
  • 15-18.00 / Hourly
  • Full-Time
Works under the supervision of the Supervisor, Manager or Director of Patient Financial Services • Clinics. Assists with the training and continuing education programs for providers and PFS staff. Codes Medical Records utilizing IC D-9-C M or IC D-10-C m, as appropriate, and C PT- 4 coding conventions. Reviews the medical records to ensure specificity of diagnosis, procedures and appropriate/optimal reimbursement for
facility and/or professional charges. Abstract information from medical records following established methods and procedures.

Essential Responsibilities
1. Review the complex (problematic coding that needs research and reference checking) medical records and accurately codes the primary/secondary diagnosis and procedures using IC D-9-C M or 10-C M and/or C PT/HC PC S coding conventions.
2. Coordinate/review the work of designated employees. Ensure quality of work performed through regular audits.
3. Assist with research, development and presentation of continuing education programs on areas of specialization.
4. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using IC D-9 or 10-C M and C PT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
5. Consult with and educate physicians and other providers on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
6. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply IC D-9 or 10-C M and C PT-4 coding guidelines to inpatient and outpatient diagnoses and procedures
7. Other duties as assigned.

Specific Skills, Knowledge, Abilities Required
Advanced IC D-9-C M and IC D-10-C M / C PT-4 and HC PC S coding conventions
Anatomy and Physiology
Medical Terminology
Extensive reimbursement knowledge and C MS LC Ds.
Coding software familiarity
Ability to train all levels of staff and providers.
Effective written and verbal communication skills
Proficient computer skills including but not limited to Word, Excel, and PowerPoint.

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