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Ensure appropriate selection of principal diagnosis, qualifying secondary diagnosis, impacting procedures and other services which is relevant for submission and reimbursement.
Effective physician query process prior to code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets
Ensures to reduce rejections and get the claim paid at the initial submission of claims.
Perform other related duties incidental to the work described herein.
Identify documentation deficiencies and query physicians for clarification and additional documentation prior to code assignment.
Adhere to the coding guidelines
Education: Degree in any related field preferably medical or life science background. CCS (AHIMA) or CPC (AAPC) certification is mandatory.
Minimum of one-two (1-2) years coding experience in any setting. Both inpatient and outpatient experience preferred.
Willingness to work in different shifts
Willingness to work from different facility
Good skill in assigning accurate CPT, ICD-10-CM, DRG, HCPCS and other service codes for diagnosis and procedures performed in the OP/ER/IP setting
Proficiency in medical terminology, anatomy and physiology
Excellent in communication skills.
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