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The coder will perform diagnostic and procedural coding for cardiology accounts using ICD-10-CM and CPT systems. They will also manage claim edits, provide physician clarification, and mentor junior coding staff.
Review medical records to identify pertinent diagnoses and procedures relative to the patient's healthcare encounter.
Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
May act as a mentor to training coders and/or new hires by providing education and training.
Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
Maintains effective and professional communication skills.
Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.
CPC,COC,CIC,CCA,CCS,CCS-P,RHIT or RHIA
Epic/3M 360 experience a plus!
Excellent verbal and written communication skills.
Must have a minimum of 3 years of professional fee cardiac coding experience.
Must be able to code EKGs and other clinic accounts
Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.
Extensive knowledge of ICD-10-CM and CPT-4 coding principles and guidelines, reimbursement systems, and federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing.
Must pass a coding proficiency test.
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