RESPONSIBLE FOR:
Evaluates medical record documentation for the correct ICD-9-CM and CPT
codes; audits claims before submission for its entirety and accuracy
and to minimize claim denial; assess records and prepares reports;
provides technical guidance to physicians and other departmental staff
in identifying and resolving issues or errors. Review coding bulletins,
newsletters and periodicals, attends workshops to stay abreast of
current issues, trends and changes in the laws and regulations governing
medical record coding and documentation.
QUALIFICATIONS: Two
years of coding/reimbursement experience. Have extensive knowledge of
ICD-9 and CPT coding principles and guidelines. Knowledge of medical
terminology and anatomy; strong knowledge of reimbursement systems, as
well as federal, state and payer-specific regulations and policies
pertaining to medical documentations, billing and coding; knowledge of
cardiology, cardiothoracic, and vascular clinical areas of coding. Must
have excellent written and oral communication skills. Ability to:
research and analyze data, draw conclusions, and resolve issues; read,
interpret, and apply policies, procedures, laws, and regulations; read
and interpret medical procedures and terminology; develop training
materials; make group presentations; train staff; exercise independent
judgment; prepare reports and related documents; maintain working
relationships with physicians and other staff; review the work of others
and maintain confidentiality.
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