Urgent! Profee Medical Coder Complex Surgical Pediatric Job Opening In USA, USA – Now Hiring Banner Health
POSITION SUMMARY
This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty surgical, procedural and E&M professional services in accordance with nationally recognized coding guidelines.
Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions.
CORE FUNCTIONS
1.
Analyzes medical information from medical records.
Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements.
Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
Provides thorough, timely and accurate coding in accordance to department specific productivity and quality standards.
Codes ICD CM and CPT4 for accurate APC assignment.
Addresses National Correct Coding Initiative (NCCI) edits as appropriate.
Reconciliation of charges as required.
2.
Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records.
Seeks out missing information and creates complete records, including items such as disease and procedure codes, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.
Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual department for clarification/additional information for accurate code assignment.
3.
Provides quality assurance for medical records.
For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
4.
As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
5.
Able to identify validation edits and revision issues to ensure compliant coding.
6.
Recognizes and distinguishes complex diagnoses and procedures and has attention to detail to make needed corrections and ensure accurate coding, reimbursement, and compliance.
7.
Works independently under regular supervision.
Uses specialized knowledge for accurate assignment of ICD/CPT codes according to national guidelines.
May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge and specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a related health care field.
Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
Certification may also include a general area of specialty.
Requires three or more years of complex professional coding experience within specialty.
Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders.
Must be able to work effectively and efficiently in a remote setting, utilizing common office programs, coding software and abstracting systems.
PREFERRED QUALIFICATIONS
Specialty Certification.
Radiology Certified Coder (RCC) if employed in the Imaging space.
Experience in a large, multi-system physician practice preferred.
Additional related education and/or experience preferred.
Anticipated Closing Window (actual close date may be sooner):
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Unlock Your Profee Medical Potential: Insight & Career Growth Guide
Real-time Profee Medical Jobs Trends in United States, United States (Graphical Representation)
Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Profee Medical in United States, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 134087 jobs in United States and 365 jobs in United States. This comprehensive analysis highlights market share and opportunities for professionals in Profee Medical roles. These dynamic trends provide a better understanding of the job market landscape in these regions.
Great news! Banner Health is currently hiring and seeking a Profee Medical Coder Complex Surgical Pediatric to join their team. Feel free to download the job details.
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The fundamental ethical values are:The average salary range for a Profee Medical Coder Complex Surgical Pediatric Jobs United States varies, but the pay scale is rated "Standard" in United States. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.
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