About this role
- Consistently and accurately assigning appropriate designated codes to patient claims. This is achieved by reviewing information provided in the medical record.
- Provide feedback to clients regarding issues such as excessive down coding and lacking documentation.
- Collaborates with AR teams on follow-up and resolution of coding related denials and rejections.
- Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPS, and ICD-10 and 10 materials, Federal register, and other pertinent materials. Develop and deliver training on TELCOR.
- Work with management team to develop, present and maintain strategic operating procedures (SOP) and training manuals.
- Proactively oversee the activities involved in quality resolution of training issues, following issues through to completion.
- Present materials and/or results to various audiences: staff, management, executive team.
- Make informed recommendations to management regarding the learning and development of staff, system/process efficiencies and overall improvement strategies.
- Actively participate in work flow discussions to maximize throughput and modify SOP & QA program as processes change.
- Perform other tasks as assigned to support the goals of the organization.
- CPC, national certification, through AAPC, RBMA or AHIMA is required.
- Minimum two years' coding experience preferred.
- Experience coding physician or hospital based charts.