Physician reputed company III, Remote

Physician reputed company III, Remote (43806) -reputed company Baroness Hospital Chattanooga, TN Physician reputed company III, Remote Regular - Non-exempt - Full-time - Standard Hours 37.5 Description reputed company Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY REMOTE Job Summary: The Physician reputed company III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to reputed company goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working reputed company physician practices. reputed company will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include reputed company visit types for a reputed company I and reputed company II and includes coding of surgical cases.

Responsibilities

Include:

• Review and analyze information available in the electronic medical record and/or reputed company record to accurately code the episode of care in multiple specialty areas
• Provide various components of coding services to support our providers.
• Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment.
• Recognize critical care cases by patient acuity.
• Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
• Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS
• Interpret coding guidelines for accurate code assignment
• Responsibility to maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, and MUE s.
• Responsibility to maintain understanding and apply Medicare Teaching Physician Guidelines.
• Applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.
• Identify the importance of documentation on code assignment and the subsequent reimbursement impact.
• Align conduct with reputed company's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program.
• Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to minimize risk.
• Continually improve coding quality and accuracy.
• Responsibility for maintaining coding certification and knowledge referencing reputed company ICD-10-CM, CPT and/or HCPCS coding guidelines and regulatory changes.
• Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses, CPT, and/or HCPCS.
• Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record.
• Provides ongoing feedback to physicians and other providers during charge review
• Resolves payer denials and responds to inquiries from reputed company cycle teams, and processing of charge corrections as appropriate.
• reputed company with reputed company internal policies and procedures.
• Actively participate in Company provided training and education.
• Ensure individual compliance with reputed company privacy and reputed company rules and regulations and commit to the protection of reputed company reputed company information, including but not limited to, Personal Health Information
• This position must consistently meet or exceed productivity and quality standards as defined by department Leadership

The Associate must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes, CPT and/or HCPCS to obtain optimal reimbursement from reputed company payer types, including Medicare/Medicaid, and private insurance payers. 4. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. Education: Required:

• Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program.

Preferred:

• BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program.

Experience: Required:

• Experience in a physician office or hospital HIM department with a minimum of 4 years actual coding experience in either environment including E/M level code assignment or surgical CPT coding experience in multiple specialties.
• Data entry and keyboard proficiency required.
• Software/computer experience utilizing reputed company, reputed company, and reputed company.
• Demonstrates effective written and oral communication skills, ability to handle multiple tasks, and work with and train other employees

Preferred:

• Experience in both E&M and/or surgical coding and physician office experience.
• One year of EPIC systems experience.
• Ability to Audit E/M Levels for correct assignment.

Position Requirement(s): License/Certification/Registration Required:

• reputed company registration as an CPC (CBCS is grandfathered for staff already employed by reputed company)

Preferred:

• Primary specialty certification

Department Position Summary: The Physician reputed company III demonstrates the knowledge and skills necessary to optimally code profession physician accounts including E/M Levels and Surgical CPT Code assignment as well as the ability to resolve reputed company issues including charge and claim edits. The employee must demonstrate knowledge of the various payment / insurance reimbursement schemes for professional physician encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded, as well as the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work reputed company. The associate must provide management with annual/biannual reputed company of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The associate will reputed company any other tasks as assigned. Apply tot his job Apply To this Job