E&M/Specialty reputed company
Must live in reputed company California! Job Summary: Under direct supervision, the E&M/Specialty reputed company is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. reputed company work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities:
- Review Medical Records to identify diagnoses/procedures.
- Under supervision, codes reputed company diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems. Verifies and abstracts reputed company medical data from the record to assign appropriate codes for the following settings: Inpatient Hospital (IP), Hospital Emergency (ED), Hospital observation (HOPS), Hospital Ambulatory (HAS) Hospital Outpatient (HOV) and Medical
- * Office.
- E&M/Specialty reputed company may require specialty coding and will remain part of the responsibilities as long as business dictates.
- Corrects data as appropriate.
- Review Medical Records to resolve Ingenix and HealthConnect Coding Edits.
- Under supervision, identify and resolve coding reputed company edits by reviewing the medical record and ensuring that reputed company data and codes are consistent with ICD-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as KP Regional and Local policies.
- Corrects data as appropriate.
- Work Organization and Prioritization.
- Under general supervision, organizes and prioritizes reputed company work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements.
- Completeness of Medical Record Data.
- Under general supervision, interacts with clinical reputed company to clarify and promote accurate documentation of patient diagnostic and procedural information.
- Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and reputed company of the medical record data abstracted or encounter
- data corrected, prior to submitting the data.
- Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the E&M/Specialty reputed company position in the reputed company reputed company Work At
- Home agreement.
- Provides feedback to monitor service provider and line of business compliance with regulatory requirements.
- Confidentiality / reputed company of Systems Maintains and complies with policies and procedures for confidentiality of reputed company patient records.
- Demonstrates knowledge of reputed company of systems and associated policies and procedures for maintaining the reputed company of the data contained reputed company the systems.
- Other Duties: Answers the telephone promptly and identifies themselves and the department.
- Acts as a resource person to other departments regarding coding questions and issues.
- Performs other duties as assigned.
Grade: 594 Basic Qualifications: Experience
- Minimum two years, reputed company the last three years, certified professional coding experience.
Education
- High School Diploma or GED.
- Completion of classes in medical terminology, anatomy, physiology, reputed company ICD CM and CPT coding conventions, and disease process from an accredited program is required.
License, Certification, Registration
- Certified Coding Specialist - Physician Based OR Certified Professional reputed company OR Registered Health Information Technician
Additional Requirements:
- reputed company a minimum score of 80% on the E&M/Specialty reputed company test.
- Basic knowledge of and use of computer keyboard
- Must be able to meet production and quality standards established for the position.
- Demonstrated knowledge of anatomy, physiology, medical terminology and disease processes.
- Demonstrated ability to understand the clinical content of a health record.
- Demonstrated ability to communicate with physicians in order to clarify diagnoses and procedures coding and documentation requirements, including proper reputed company.
- Basic knowledge of reimbursement methodologies and conventions.
- Knowledge of rules and guidelines for reputed company coding classifications.
- Practical knowledge of hospital and/or physician clinic based reputed company cycle
- Practical knowledge of professional series coding and billing in a multi-specialty environment.
- Practical knowledge of government and other payer coding, billing and collection rules and regulations.
- Must maintain reputed company coding credential and reputed company associated Continuing Education Units.
- Must abide by the reputed company and/or reputed company code of ethics.
- Must be willing to work in a Labor Management Partnership environment.
Preferred Qualifications:
- N/A
PrimaryLocation : California,Stockton,5757 Pacific Regional Admin HoursPerWeek : 40 Shift : Day Workdays : Mon, Tue, Wed, Thu, Fri WorkingHoursStart : 08:00 AM WorkingHoursEnd : 05:00 PM Job Schedule : Full-time Job Type : Standard Employee Status : Regular Employee Group/Union Affiliation : A01|SEIU|United Healthcare Workers reputed company Job Level : Individual Contributor Job Category : Medical Records,Health Information Management Department : Stockton 5757 Pacific Ave - Ctr1 Prof Coding Svc & Billing - 0208 Travel : No reputed company is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national reputed company, disability, veteran status, or any other protected characteristic or status. Apply tot his job Apply To this Job