Clinical Coder at St Vincent’s Private Hospital analyzing patient records and assigning ICD clinical codes for accurate care classification. Participating in ongoing training and audits to maintain coding quality.
About the role
- Coding Specialist ensuring accurate and efficient coding of medical records at Family Health Centers of Southwest Florida. Responsibilities include reviewing charts, auditing documentation, and coding for compliance with regulations.
Responsibilities
- Responsible for the accurate and efficient coding of FHC medical records in compliance with all legal regulations and accepted standards.
- The Coder reviews charts as assigned by the Coding Supervisor, scans them for errors and omissions, makes edits as necessary, and submits them for processing.
- Review accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Audits clinical documentation and coded data to validate documentation supports diagnoses, procedures and all services rendered for reimbursement and reporting purposes.
- Identifies diagnostic and procedural information and reviews physician pending charges for appropriate complexity using CPT coding guidelines.
- Assigns codes for reimbursements and compliance with regulatory requirements utilizing guidelines and following up to date coding conventions.
- Works closely with the Coding Supervisor to provide feedback to providers to improve documentation practices.
- Confirm patient demographic, insurance and referring physician information is accurately entered in Intergy.
- Enter all codes, CPT, HCPCS and ICD-10 coding and modifiers in Intergy timely and accurately.
- Follow established checks and balances systems to ensure complete and accurate code capture.
- Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI.
- Serves as coding consultant to providers.
- Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and third-party payers.
- Keeps abreast of standard coding guidelines (including Medicare, Medicaid, Managed Care, HEDIS, and FQHC guidelines).
- Provides updates and status reports to management weekly.
- Other duties as assigned.
Requirements
- Demonstrated knowledge of Medicaid, Medicare, and Commercial Insurance rules and procedures in a managed care plan environment
- Medical terminology, CPT, HCPCS and ICD-10 coding and modifier usage required
- Understanding of FQHC billing procedures and Sliding Fee Schedules a plus
- Understand and adhere to all HIPAA guidelines
- Medical Coding & Billing course completion preferred
- 2 years Medical Coding experience preferred
- Certified Professional Coder (CPC) Certification preferred
- Minimum 1-year employment in healthcare related field
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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.
Experienced ambulance billing coder for a Michigan EMS provider responsible for accurate insurance claim inputs and coding according to CMS guidelines.
Clinical Data Coder providing comprehensive data management expertise and coding activities to the DM team. Overseeing coding activities and quality control procedures for clinical trials.
Medical Coder at Astrana Health extracting and reviewing diagnosis codes from hospital records. Ensuring compliance with coding guidelines and maintaining accuracy in projects.
Certified Medical Coder responsible for coding diagnoses and procedures for billing and reporting. Ensuring compliance with coding guidelines and acting as a resource for medical staff.
Lead Medical Records Coder managing office operations and coordinating coding staff. Ensuring coding accuracy and compliance with medical standards while fostering an inclusive team environment.
Medical Coder reviewing multi - specialty inpatient and outpatient coding accuracy for ICD - 10, CPT, and HCPCS. Collaborating with collections teams and electronic filing of replacement claims.
Senior Associate managing health care coding and compliance investigations for Ankura’s Health Care team. Leading complex investigations and ensuring project deliverables are met in a timely manner.
Responsible for reviewing surgical operative reports and coding surgical services at a healthcare facility in Sayre, PA.