E&M Coder/Denials - Physician

 Posted 3 days ago
     
0-2 years experience
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AI Summary

The role involves reviewing and coding medical record documentation using ICD and CPT codes to ensure accuracy and specificity. It also includes auditing claims to minimize denials and maintaining relationships with physicians.

Overview

At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders.

Qualifications

Education
  • H.S. Diploma or General Education Degree (GED) Required
  • Coding Certificate program, AAPC or AHIMA accredited Preferred
Work Experience
  • No experience required
  • Coding experience Preferred
Licenses and Certifications
  • RHIA - Registered Health Information Administrator Required or
  • RHIT - Registered Health Information Technician Required or
  • CPC, CPC-A, CPC-H - Certified Professional Coder Required or
  • CCA - Certified Coding Associate Required or
  • CCS-Certified Coding Specialist CCS-P Required or
  • Equivalent coding certification Required

Business Unit : Company Name

Piedmont Healthcare Corporate

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