About this role
Work Location: Peartree Way, Beaver PA 15009. Hybrid following training period.
Work Hours: Primary Daylight, Monday thru Friday.
- Responsible for coding professional fee outpatient medical records in order to ensure a correct diagnosis, office visit and/or procedure code assignment.
- Ensures timely and accurate code assignment in accordance with both federal and state specific requirements/guidelines.
- Accurately applies coding utilizing ICD-10-CM, CPT, Modifiers, HCPCS codes.
REQUIRED
- Associate's Degree in Health Information Management, Healthcare Business, or an equivalent program with emphasis in coding or a minimum of two years active coding professional fee experience.
- Current certification through AAPC, to include CPC and CPB credentials, or must obtain within 1 year or hire.
- Evaluation and Management (E & M) pro-fee coding experience required.
- Knowledge of professional and technical component documentation, coding and billing regulations and reimbursement systems.
- Ability to maintain weekly productivity and accuracy.
- Successful completion of applicable requirements as outlined in Human Resources policy HR-106 within 90 days of commencing employment.
PREFFERED
- Experience or certification in a specialty area (i.e, Cardiology, Foot & Ankle, Orthopedics).
- Understanding of M.E.A.T. criteria, hierarchical condition category (HCC) and risk adjustment factors (RAF).