Multispecialty Outpatient Medical Coder

About this role

Job Family : General Coding Travel Required : None Clearance Required : None

The Multispecialty Coder  will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.

Responsibilities: • Demonstrates the ability to perform quality surgical coding and multispecialty chart types as assigned

• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards

• Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility

• Ability to maintain average productivity standards as follows

• Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary

• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines

• Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met

• Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility

• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request

• Responsible for coding or pending every chart placed in their queue within 24 hours

• It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard

• Coders are responsible for checking the Guidehouse email system at least every two hours during coding session

• Coders must maintain their current professional credentials while working for Guidehouse

• Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility

• Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)

• It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content

• Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services

• Communicates problems or coding principle discrepancies to their supervisor immediately

• Communication in emails should always be professional

What You Will Do : • Demonstrates the ability to perform quality E/M coding and surgical as appropriate on assigned Hospitalist encounters.

• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing

• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards

• Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility

• Ability to maintain average productivity standards as follows

• Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary

• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines

• Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met

• Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility

• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request

• Responsible for coding or pending every chart placed in their queue within 24 hours

• It is the responsibility of the coder to notify administrative staff in the event they cannot meet the twenty-four hour turn around standard

• Coders are responsible for checking the Guidehouse email system at least every two hours during coding session

• Coders must maintain their current professional credentials while working for Guidehouse

• Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility

• Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)

• It is the responsibility of each coder to review and adhere to the coding div

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