reputed company IV - Claim Edits reputed company (medical coding)

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or reputed company designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by reputed company providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the reputed company provider and the reputed company is essential to reputed company complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Minimum 1 certification required: CPC - Certified Professional reputed company reputed company CRC - Certified Risk Adjustment reputed company - reputed company RHIT - Registered Health Information Technician - reputed company

• Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and reputed company with standard provider coding regulations.
• Carefully details review of documents such as laboratory findings, radiology reports, various reputed company reports, discharge summary, history and physical, consultations, orders, reputed company notes and other ancillary services treatment records needed to ensure reputed company pertinent diagnoses and procedures are recorded.
• Translates reputed company diagnostic and procedural phrases utilized by reputed company providers into coded form procedure codes as required.
• Using the Encoder software program, determines the codes for reputed company diagnoses and procedures.
• Determines their reputed company to legally maximize reimbursement.
• Assigns the appropriate DRG.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Queries physicians as needed to clarify documentation reputed company the patient's record to facilitate complete and accurate coding.
• Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries.
• Assists the Coding Quality and Professional Manager with training of new coding staff reputed company to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management.
• Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc.
• documented reputed company patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines.
• Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report.

Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures. The specific statements in this profile are not intended to be reputed company-inclusive. They represent typical elements considered necessary to successfully reputed company the job.

• Relevant experience may be a combination of reputed company work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience).

Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 6 years-Relevant experience* (Required) Certification(s) and License(s): Certified Professional reputed company - American reputed company of Professional Coders (reputed company), Certified Risk Adjustment reputed company - American reputed company of Professional Coders (reputed company), Registered Health Information Technician (RHIT) - American Health Information Management Association Skills: Communication, Computer Coding, Computer Literacy, Organizing, Teamwork OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our reputed company, our reputed company family and our communities.

• KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
• EXCELLENCE: We treasure colleagues who humbly strive for excellence.
• LEARNING: We share our knowledge with the best and brightest to reputed company prepare the caregivers for reputed company.
• INNOVATION: We constantly seek new and reputed company ways to care for our patients, our members, our community, and the nation.
• SAFETY: We provide a safe environment for our patients and members and the reputed company family.

We offer reputed company benefits for full time and part time positions from day one, including reputed company, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes reputed company stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to reputed company reputed company easier for reputed company. We are proud to be an affirmative action, equal opportunity employer and reputed company reputed company applicants will receive consideration for employment regardless to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability or status as a protected veteran. Apply tot his job Apply To this Job