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The Coder III codes and abstracts clinical and demographic data from patient records to support reimbursement. Assists in maintaining accurate and complete medical records in accordance with hospital policies and procedures.
Reviews records for completeness, accuracy and compliance with regulations.
Reviews, codes and abstracts, utilizing ICD-10 and CPT coding conventions, electronic health records of hospital(s) and clinic(s) patients, both retrospectively and concurrently, in a manner consistent with administrative, ethical, legal and regulatory requirements and to meet company established DNFB standards.
Monitors incoming records daily and provides timely coding according to policy. Maintains strictest confidentiality of protected health information (PHI) in accordance with the
Health Insurance Portability and Accountability Act (HIPAA). Reviews the medical record to assure specificity of diagnoses, procedures and appropriate / optimal reimbursement for hospital and / or professional charges.
Ensures DRG / APC assignment is accurate. Follows through and requests missing documents / information. Maintains coding data quality and integrity.
Abstracts information and statistical data from coded records. Ensures timely completion of history & physical and operative / procedure reports in accordance with governing / regulatory / accrediting agencies regulations.
Accurately prepares documents / forms / queries and ad hoc report / projects in a timely manner. Reads and responds to emails in a timely manner.
Required Qualifications :
Last updated : 2024-06-19
Full Time
Ancillary Healthcare
$60k-78k (estimate)
06/20/2024
06/25/2024
prospectmedical.com
TUSTIN, CA
200 - 500
1985
IRENE LUNA
$10M - $50M
Ancillary Healthcare
Welcome to Prospect Medical Group, an independent physician association (IPA) supporting residents of Southern California. Call us today @ 800-708-3230.
The job skills required for Coder iii include CPT Coding, Acute Care, Confidentiality, Customer Service, HIPAA, Accountability, etc. Having related job skills and expertise will give you an advantage when applying to be a Coder iii. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Coder iii. Select any job title you are interested in and start to search job requirements.
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