Pro Fee Coder – Behavioral Health
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Job Description
Pro Fee Coder reviewing clinical documentation and assigning procedural codes for healthcare billing. Ensuring compliance with coding guidelines and maintaining data integrity.
Responsibilities:
- Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types.
- Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals.
- Perform documentation review and assessment for accurate abstracting of clinical data.
- Interact with client staff and providers as needed.
- Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types.
- Review and analyze facility records to ensure accurate coding.
- Maintain strict patient and provider confidentiality.
Requirements:
- An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
- Two years of recent and relevant hands-on coding experience
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets
- Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards
- Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)
- Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers.
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