- Reviews Medical Records 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.
- This assessment is required for several job functions: -Medicare audits -The University Professional Compliance Office annual assessment -Internal Audits -Physician requests for documentation review -Clarification of inpatient billing card discrepancies -EPIC experience.
- Work Queue Edits: -Work assigned WQ Edits -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 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.
- Review new policies and procedures, standards, and guidelines about 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.
- Certified as a Professional Coder from the American Academy of Professional Coders or equivalent national entity required.
- 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-9 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
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Certified Professional - Los Angeles, United States - Amerit Consulting
Description
Overview:
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Certified Professional / Medical Coder.
*** Candidate must be authorized to work in the USA without requiring sponsorship ***
***************************************************************
*** Location: Los Angeles, CA 90024
****Duration: 5+ months contract
Job Description:
Client needs a certified coder: CPC, COC, or CCS. Must have 2+ yrs of exp, detailed knowledge of ICD-9, CPT & HCPCS coding. HIGHLY PREFERRED: Experience working as a coder in nuclear medicine.
Job Functions/Responsibilities:
Required Experience: please do not submit anyone without the below experience.
*****************************************************************
I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction.
If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Sam Banga
Lead Recruiter
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients' businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.
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