
Clinical Coding Specialist
5 hours ago
This role plays a pivotal part in ensuring the accurate and timely submission of medical claims. You will utilize expertise in clinical coding processes to optimize revenue cycles while maintaining compliance with regulatory standards.
- Analyze patient records for physician/NP visits and home health start-of-care visits to extract relevant information.
- Coding diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs following national guidelines.
- Document essential patient details including medication history, medical history, active diagnoses, and preventive care screens.
- Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
- Stay current with changes in coding regulations and provide education as needed.
- Participate in Quality Assurance/Quality Improvement initiatives.
- Develop effective communication with clinical staff, insurance plans, and hospital systems.
- Background in a medical field with experience in clinical coding and billing.
- Proficient English language skills with knowledge of medical terminology, anatomy, physiology, coding systems, and guidelines.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA is preferred.
- At least 2 years experience in clinical coding and billing with focus on physician and home health coding.
- A high-performance computing device with AMD Ryzen 3 3200G APU or Intel Core i5 (7th gen) CPU.
- 16GB DDR4 RAM for smooth performance.
- A fast SSD storage system with 120 – 480gb capacity.
- A noise-canceling headset for clear communication.
- 1 – 2 monitors (at least 21in) for efficient work.
- Internet speed: 50mbps (Fiber/DSL) for seamless connectivity.
- Genuine Windows 10 Licensed Computer for secure operation.
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