Job Description
Job Description
Summary
This role involves reviewing and analyzing physicians'documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.
Job Duties & Essential Functions
Summary
This role involves reviewing and analyzing physicians'documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.
Job Duties & Essential Functions
- Perform complex and technical assignments related to medical coding.
- Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement.
- Resolve discrepancies related to coding issues.
- Review and correct rejected claims from various third-party carriers.
- Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding.
- Maintain account records and track IDX record requests.
- Maintain PK files for validity errors.
- Monitor TES Open Encounter file.
- Manage CLIA renewals for all site...