Auditing and coding medical records for reimbursement at Elevance Health. Reviewing documentation and training others on coding practices, based in Puerto Rico.
Responsibilities
Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and documentation
Queries physicians when code assignments are not straightforward or documentation is unclear
Trains and educates others on coding, documentation, claim payment guidelines, and related issues
Reviews CPT and ICD-9 codes annually for accuracy and implements changes
Assists physicians and providers with questions and problems related to coding, documentation and billing
Requirements
Requires a H.S. diploma or equivalent
Minimum of 1 year of experience
Certified Medical Code (CPC or CCS-P) required
Knowledge of medical terminology and anatomy strongly preferred
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