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Health Info Coder 2 - Remote | Wfh
Recruited by Get It Recruit - Healthcare 1 year ago
Address San Diego, CA, United States
Outpatient Medical Coder - Remote
Company | Compass Government Solutions |
Address | Beale Air Force Base, CA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-05-14 |
Posted at | 1 year ago |
UTIES OF THE MEDICAL CODER-OUTPATIENT:
- Reviews encounter and/or record documentation to identify inconsistencies, ambiguities, or discrepancies that could cause inaccurate coding, medico-legal re-percussions or impacts quality patient care.
- Monitors the ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided.
- Maintains technical currency through continuing education and training opportunities.
- Monitors query submission, response times, and completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance. Assigns accurate codes to encounters based upon provider responses to queries and reports all queries and responses in accordance with established guidelines.
- Provides or contributes to periodic reports and may provide limited assistance to the facility s data quality, group practice managers, or other facility business functions.
- Utilize military healthcare computers to remotely access patient records and assign codes for patient encounters. Perform limited focused audits or peer reviews.
- Have practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
- The practical knowledge of medical specialties must include: medical diagnostic and therapeutic procedures; ancillary services (which includes but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology); and revenue cycle management.
- Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding.
- May perform assessments and examine records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained. Develops and submits a written query in accordance with established guidelines to the provider to request clarification of provider documentation that is conflicting, ambiguous, or incomplete in regards to any significant reportable condition or procedure.
- Must have practical knowledge of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
- Accurately assigns diagnosis, procedure, and supply codes for the professional and institutional (facility) components of outpatient encounters in accordance with Defense Health Agency and Air Force Medical Services MCPO completeness, productivity, and timeliness standards.
- The coder must have practical knowledge of the reimbursements systems, including but not limited to, Ambulatory Payment Classifications (APCs); and the Resource-Based Relative Value Scale (RBRVS).
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