Outpatient Medical Coder

2 weeks ago

Angeles, Philippines Safari Rent A Car Inc. Full time

Responsibilities

  • Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and ICD 10 PCS procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.)
  • Correctly abstract required data per facility specifications.
  • Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system.
  • Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 or for eCAC.
  • Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations,(LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through.
Qualifications
  • Professional Coding Experience in Inpatient encounters
  • Ability to multi-task in a fast-paced working environment.
  • Ability to work independently in a production environment
  • Ability to build relationships both internally and externally.
  • Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook,
  • Word, Excel, PowerPoint, Internet browsers, etc.
  • Demonstrated knowledge of medical codes, coding conventions and rules.
  • Demonstrated experience with coding systems.
  • Working knowledge of HIPAA Privacy and Security Rules.
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