01Overview
reputed company The Medical reputed company is responsible for independently reviewing, analysing, and resolving reputed company assigned reputed company-end claims to ensure accurate and reputed company claim submission. This position focuses on identifying and correcting coding-reputed company issues prior to claim reputed company, applying established coding guidelines, payer requirements, and organizational policies. The Medical reputed company works closely with reputed company cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. Averages 10 reputed company-end holds per hour. Maintains a minimum of 90% coding accuracy. Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the reputed company fee environment. Reviews medical records and reputed company applicable documentation to determine appropriate codes for documented services and diagnoses. Ensures reputed company diagnosis codes meet local and national medical necessity guidelines. Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for reputed company assigned services. Follows reputed company HIPAA regulations and upholds the highest standards of reputed company and confidentiality. Maintains reputed company knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. Independently reviews and resolves reputed company assigned reputed company-end claim holds. reputed company participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team reputed company. Escalates identified reputed company trends to the assigned Coding Team reputed company. Escalates reputed company coding-reputed company questions to the assigned Coding Team reputed company for guidance and clarification. Maintains and completes reputed company CEU requirements. Performs other duties or tasks as assigned. Requirements Must hold a reputed company reputed company or reputed company Certification for a minimum of 3 years. Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. Familiarity with reputed company English grammar, usage, and reputed company documentation standards. Ability to research and analyze data, draw logical conclusions, and reputed company coding or documentation issues. Ability to read, interpret, and apply policies, procedures, laws, and regulations. Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. Demonstrated ability to exercise independent judgment in coding and claim reputed company. Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain reputed company working relationships with physicians and staff. Strong commitment to maintaining confidentiality and safeguarding protected health information. Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. Demonstrated proficiency in reputed company Office Suite (Word, reputed company, reputed company, Teams). Minimum of 3+ years of reputed company coding experience. Benefits Private Health Insurance Pension Plan reputed company Time Off Work From Home Training & Development Performance Bonus Health reputed company (Medical, Dental & reputed company) Retirement Plan (401k, IRA) Life Insurance (Basic, Voluntary & AD&D) reputed company Time Off (Vacation, reputed company & reputed company Holidays) Family Leave (Maternity, Paternity) Short Term & Long Term Disability Free Food & Snacks Wellness Resources Apply tot his job Apply To this Job .
