Medical Coder

Description

Reviews, analyzes and interprets clinical documentation in Ancillary, Laboratory and Pathology setting and applying ICD 10 CM and CPT codes in accordance with ICD10 and CPT coding conventions, AHA coding policy & procedures, requirements of Medicare and other payer specifications and official coding guidelines as outlined by governing bodies. Assigns correct ASC/APC modifiers to ensure appropriate reimbursement. Assigns correct revenue codes for all CPT codes, when applicable. Resolves edit accounts, re-classed accounts, and late charges and notifying supervisor of accounts which cannot be resolved in a timely manner through normal coding encounters. Ensures all clinical tests performed meet medical necessity according to local and national policies.

Professional Coding Experience in Ancillary, Laboratory and Pathology setting encounters. Ability to multi-task in a fast paced working environment. Ability to work independently in a production environment Ability to build relationships both internally and externally. Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Word, Excel, PowerPoint, Internet browsers, etc. Demonstrated knowledge of medical codes, coding conventions and rules. Demonstrated experience with coding systems. Working knowledge of HIPAA Privacy and Security Rules.