What are the responsibilities and job description for the Health Information Coder position at Ampcus?

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.

Job Title : Health Information Coder

Location(s) : Los Angeles, CA

Remote)

Description :

Various duties in assigned specialty, position responsible for work on full spectrum of claim edits related to medical coding. Some duties include but are not limited to ability to abstract Evaluation and Management Codes (both out and in-patient), Medicare Annual Exams, Observation visits, ICD-10 Diagnosis, Preventative visits and other assignments as directed by supervisor.

Position may also require charge entry, coding research, and special project assignment. Primay reponsibility will be in coding work queues related to customer service, charge entry, charge router, follow up, and claim edit rukes that require coding knowledge to resolve.

Duties and Tasks :

Reads and analyzes physicians' notes to assess them for documentation accuracy. This involves comparing physician documentation to established Evaluation and Management Guidelines to certify the appropriate category of billing and the correct level of billing within that category. Additionally, the dates of service, CPT codes, place of service and diagnostic codes billed must be corroborated in the medical record.
Work assigned WQ Edits for CPC Unit (all specialties for 2200 providers).
Verifies all information supplied.
Provides appropriate feedback for root cause / action items.
Corresponds with physicians regarding billing issues as needed via phone, email, etc.
Maintains Production Standards and Turn Around Time.
Targets consist of a variety of E / M and procedural coding.
Maintains Quality Standards : Quality Reviews of 95% or better.
Meets production standards while maintaining quality, accuracy, and neatness.
Reviews new policy and procedures, standards and guidelines pertaining to coding to ensure an up-to-date knowledge and experience level. .
Reads publications and attends seminars to remain current on correct coding and billing procedures.
Provides a resource for co-workers in other areas on inpatient and outpatient charge document review, and on coding.
Performs special assignments for all Med-Legal accounts, including entering charges, corresponding with physicians, ordering reports, and maintaining files.
Performs other duties as assigned by Coding Department Supervisor, Manager, or Director.

Required Skills / Experience :

Certified as a Professional Coder from the American Academy of Professional Coders or equivalent national entity required; with minimum 2 years experience abstracting E / Ms required and abstracting surgical procedures preferred

Detailed knowledge of Medical Terminology and its application required;

Detailed knowledge and understanding of ICD-9, CPT, and HCPCS coding systems required;

Knowledge of CMS and local carrier regulations and requirements for documenting / billing physician services at a teaching hospital;

Working knowledge of anatomy and physiology required;

Extensive knowledge of Medical Record content required;

Experience as Medical Record Abstractor required;

Ability to accurately assign ICD-10 and CPT codes required;

Knowledge of HIPAA requirements;

Ability to maintain confidentiality of sensitive information;

Ability to meet established continuing education requirements by attending required training workshops, reading materials assigned by AAPC in order to maintain yearly CEUs required for Certified Professional Coder.

Ability to establish and maintain cooperative working relationships with physicians and staff;

Skill in working independently and following through on assignments with minimal supervision;

Skill in prioritizing and performing a variety of duties

Oral communication skills;

Knowledge of Microsoft Excel and Word;

Good command of English Grammar

Agreeable attitude regarding assignment variety

Shift :

Work schedule is flexible as long as the coder works within the department hours of 6a - 6p PST.

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.

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