Qureos Mentor

Affinia Healthcare

<div>
 
 Position Summary:
 
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 
 
 
 Education:
 
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Experience
 
 
 
 <ul>
 <li>
 Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
 </li>
 <li>
 Lab coding experience required.
 
 
 </li>
 </ul>
 
 Skills And Abilities
 
 
 
 <ul>
 <li>
 Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
 </li>
 <li>
 Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
 </li>
 <li>
 Knowledge of LCD/NCD coding policies regarding Laboratory Services
 </li>
 <li>
 Ability to devise training materials to teach staff correct
 </li>
 <li>
 Professional demeanor and appearance, strong ethics, team player with positive attitude.
 </li>
 <li>
 Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
 
 
 </li>
 </ul>
 
 Transportation Requirement:
 
 None
 
 
 
 License(s)/Certification(s) Required:
 
 HIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Essential Functions
 
 
 
 <ul>
 <li>
 Reviews medical record documentation to identify all services provided by
 </li>
 <li>
 Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
 </li>
 <li>
 Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
 </li>
 <li>
 Assists with the submission of billing
 </li>
 <li>
 Obtains and submits copies of medical documentation with clinician charges to support billing to third party
 </li>
 <li>
 Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
 </li>
 <li>
 Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
 </li>
 <li>
 Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
 </li>
 <li>
 Compiles monthly reports as
 </li>
 <li>
 Identifies trends/problems in medical documentation and recommends possible solutions.
 </li>
 <li>
 Provides training support to billing department in handling of rejections and denials of
 </li>
 <li>
 Correction and submission of reference lab billing requests.
 </li>
 <li>
 Performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Marginal Functions
 
 
 
 <ul>
 <li>
 Assists in audits.
 </li>
 <li>
 Codes input forms as required.
 </li>
 <li>
 Provides backup support to billing department.
 
 
 </li>
 </ul>
 
 Supervises:
 
 None
 
 
 
 NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
 
 
 
 
 NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
 
 
 
 
 AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 
</div>

Certified Medical Coder

Join Affinia Healthcare and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Affinia Healthcare

About Company

Certified Medical Coder