What are the responsibilities and job description for the Coder - Certified position at Catalyst Medical Group LLC?
Job Description
Job Description
Description :
The Certified Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT).
General : Performance Expectations
Responsible - works independently, in a safe and appropriate manner. Demonstrates both problem-solving and problem-prevention skills.
Sensitive - displays sensitivity to the needs of patients and co-workers. Demonstrates good communications skills and empathy.
Timely - recognizes time as a customer's most valuable resource and responds promptly to patients' and co-workers' needs.
Accurate - works carefully and precisely, with attention to detail.
Coordinated - organizes and delivers service in the proper order. Displays good organization skills and utilizes resources wisely.
Thorough - meets all the requirements of his / her position. Is able to evaluate and follow up on his / her services.
Role Specific : Work role responsibilities
Coding daily charges
Coding radiology and surgery charges
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Researches and analyzes data needs for reimbursement.
Analyzes medical records and identifies documentation deficiencies.
Reviews and verifies documentation supports diagnoses, procedures and treatments.
Identifies diagnostic and procedural information.
Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
Follows coding conventions.
Serves as coding consultant to care providers.
Identifies discrepancies, potential quality of care, and billing issues.
Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
Identifies reportable elements, complications, and other procedures.
Assists lead or supervisor in orienting, training, and mentoring staff.
Handles special projects as requested.
Knowledge of medical terminology and anatomy and physiology.
Demonstrated strong written and verbal communication skills.
Healthcare systems knowledge.
Proven work experience as a Medical Coder or similar role.
2 years of work experience as a Medical Coder.
Proficient computer skills.
Administrative writing skills.
Work with coding software.
Outstanding organizational skills.
Ability to maintain the confidentiality of information.
Requirements : Required
High school Diploma
Billing and coding knowledge
Coding Certification through AAPC or AHIMA
Knowledge of CMS coding and documentation guidelines.
Knowledge of third-party physician service coding and billing practice.
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