Medical Coder

Talentify; Hyannis (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

Talentify is seeking an outpatient coding specialist to analyze, sequence and validate assigned codes based on medical record documentation. You will apply ICD-10 and CPT knowledge, ensure compliance, and maintain a high accuracy rate.

Responsibilities include reviewing documentation, abstracting patient information, querying clinicians for clarification, and meeting productivity standards while upholding coding integrity and regulatory requirements.

Qualifications

• Analyzes and codes diagnoses, procedures, and modifiers based on medical records.
• Requires knowledge of ICD-10, CPT and coding rules.
• Seeks 2 years outpatient coding experience and CPC eligibility.

Responsibilities

• Reviews documentation to assign diagnoses, procedures and level codes.
• Ensures compliance with coding, regulatory and reimbursement requirements.
• Abstracts and enters demographic and clinical information.
• Queries physicians to obtain missing documentation for accuracy.

Skills

CPC Certification eligibility

ICD-10 and CPT coding

Outpatient Coding experience

English communication

Education

High School Diploma or GED

CPC Certification (in progress or eligibility)

Job description

• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
• Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.
• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
• Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
• Abstracts and enters demographic, clinical and related patient information into the computer system.
• Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
• Reconciles, identifies and retrieves medical records to be coded.
• Maintains a 95% ongoing accuracy rate.
• Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
• Maintains accurate productivity logs and provides this information to management in a timely fashion.
• Assists in the orientation and development of new coding personnel.
• Assumes professional responsibility for development of skills and ongoing education to maintain Active Coding certification.
• Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.
• Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the PB Coding Manager to find solutions and implement changes to increase productivity and department efficiency.
• Performs all duties and interacts with others in a professional manner.
• Performs other related duties as assigned.
• High School Diploma or GED
• Two years of Outpatient Coding experience preferred
• Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
• Ability to read, write and communicate in English
• Comprehensive understanding of ICD10 and CPT coding
• Successful passage of Coding exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or higher
• Demonstrated ability to create strong working relations with physicians and practices.
• Capable of working independently as well as in a team environment