• Knowledge of and experience using ICD 10, CPT, and HCPCS coding.
• Knowledge of payor guidelines.
• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry
• Ability to work independently and make decisions
• Ability to pay close attention to detail.
• Ability to identify research and solve problems and discrepancies.
• Ability to communicate with employees, management and physicians in a courteous and professional manner.
• Ability to process assigned duties in an organized manner.
• Coder must be certified AAPC or AHIMA
• Commitment to a high level of customer service, solid oral and written communication skills
• Strong medical terminology
• Able to work independently

Tasks:

• Code and abstract clinical and demographic data for inpatient and, or outpatient encounters using standardized coding regulations, abstracting rules, and internal guidelines.
• Identify and resolve clinical documentation and charge capture discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of charges data reported.
• Maintain patient confidentiality and information security
• Performs medical necessity checks appropriately utilizing the CMS website for Medicare tests when these are brought to the coder's attention prior to the patient's encounter.
• Appropriately follows up on accounts that they have on hold due to documentation or billing issues.
• Perform other duties as assigned