
Certified Medical Coding Specialist
7 days ago
This is a vital role in the healthcare sector, where professionals play a crucial part in submitting accurate and timely medical claims.
Main Responsibilities:- Patient records are analyzed for physician/NP visits and home health start-of-care visits to ensure accuracy.
- Coding and billing processes are optimized to adhere to regulatory standards.
- Patient information including medication history, medical history, active diagnoses, and preventive care screens are documented.
- Medical providers are consulted to identify potential missing HCC diagnoses.
- Claims data is reviewed to verify accurate coding and billing.
- Collaboration with healthcare professionals takes place to improve documentation, coding accuracy, and compliance.
- Changes in coding regulations are monitored, and education is provided as needed.
- Quality Assurance initiatives are participated in.
- Key performance indicators related to coding accuracy and compliance are developed.
- A background in a medical field is required.
- Proficiency in the English language, written and verbal, is essential.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) is necessary.
- At least 2 years of experience in medical coding and billing is required.
- Knowledge of medical terminology, anatomy, physiology, coding systems, and guidelines is necessary.
- Strong analytical skills and attention to detail are required.
- Proficiency with coding software and EHR systems is essential.
- Knowledge of regulatory requirements and compliance standards is necessary.
This role offers the opportunity to work in a dynamic environment, contributing to the improvement of healthcare services. Professionals will have the chance to develop their skills and knowledge, staying up-to-date with changes in coding regulations.
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