Risk Adjustment Coding Specialist supporting risk adjustment efforts through chart reviews and provider education. Estimated travel up to 75% in Inland Empire region, specifically LA or Orange County.
MU
Hybrid Senior Medical Records Coder
Posted last month
About the role
- Medical Records Coder managing inpatient and outpatient coding compliance with federal regulations. Conducting quality reviews of coding and maintaining up-to-date guidelines for accuracy and compliance.
Responsibilities
- Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
- Provides skilled and specialized technical work in documentation and coding for medical billing, abstracts complex patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
- Works coding related charge review and claim edits daily to ensure timely and accurate billing.
- Researches and resolves coding related issues, and assists in meeting productivity and quality standards.
- Contacts other facilities to obtain medical records and information need to bill for services rendered.
- Verifies fee tickets and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; assures proper documentation guidelines are followed.
- Interacts with regulator classification agencies and patients when clarification and additional information is required for documentation.
- Reviews charge documents for completeness.
- Updates coding books with changes as accepted and published by regulatory agencies.
- Performs all other duties as assigned.
Requirements
- Five (5) years experience in medical record abstraction and coding is required.
- High school diploma or GED is required.
Benefits
- Proficiency in ICD-10 and CPT coding
- In-depth understanding of medical terminology, anatomy and physiology
- Meticulous attention to detail and accuracy
- A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner
- Strong verbal, written and interpersonal communication skills.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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