Medical Coder/Coding Specialist
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Job Description
Medical Coder responsible for analyzing and coding diagnostic information for Tidelands Health. Collaborating with healthcare professionals to ensure accuracy and compliance in medical records.
Responsibilities:
- Responsible for analyzing and assigning ICD-10-CM diagnostic codes, CPT, and HCPCS codes to all outpatient, ED, and hospitalists accounts
- Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC
- Abstracting required clinical information from the medical record
- Queries physicians as needed, to clarify documentation to ensure accurate code assignment
- Organizes and prioritizes work to meet deadlines and goals
- Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy
- Responsible for resolving coding edits, account checks, rejections, and denials to ensure proper reimbursement of service rendered
- May assist with writing appeals letters
- Assist with training to include team members and physicians
- Collaborate with the Compliance/Quality Team when alerted to coding quality issues found via internal or external reviews
Requirements:
- High School Diploma or equivalent
- Minimum of two years of progressive on-the-job coding experience in an acute care hospital or physician's office or successful completion of Tidelands Health coding cross-training program
- Analyze clinical data and interpret information
- Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance
- Ability to assign ICD-10-CM, CPT and/or HCPCS codes to complex diagnoses and procedures in an integrated system of outpatient and emergency records
- Solid knowledge of hospital documentation, and coding workflows and terminology; Solid understanding of and ability to apply Coding Clinic and other coding guidelines.
- Proficient at writing AHIMA-compliant physician queries
- Functional knowledge of facility EMR, 3M encoder, CDI tool, and other support software
Benefits:
- Health insurance
- 401(k) matching
- Paid time off
- Professional development opportunities
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