Potential candidate is responsible for abstracting, coding, and sequencing diagnoses, medical/surgical procedures, and treatment modalities according to appropriate classification system [International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM and PCS), American Medical Association Current Procedural Terminology (CPT) coding system, and Healthcare Common Procedure Coding System (HCPCS)] for inpatient and outpatient encounters, meeting productivity and quality measures daily
DENIALS:
Understands and resolves client work queues which include but are not limited to: claim denials/rejections for authorization, medical necessity, duplicate, timely filing, COB.Establishes relatio
nships and maintains open communication with third party payor representatives in order to resolve claims issues.No
nvoice Account
Qualifications:
Candidate should be a licensed medical coderWith active coding credentials with either AAPC (CPC, COC) or AHIMA (CCS, CCS-P)Preferably a graduate of a medical or allied medical course in relevant clinical work experienceExcellent grasp of ICD 10, CPT and PCS codingExperience with EPIC, Cerner, CAC and other coding platforms an advantageWith at least 1 year coding experience with a solid background in inpatient, Denials and/or outpatient coding
Benefits:
Day shift accountsHMO with 2 free dependent8-hour daily shiftsCertification allowance and other miscellaneous benefitsFree meal when working onsitePermanent WFH Set up