• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
• Code and clinical review for medical necessity of claims post-adjudication that are in the pre-payment stage and have been identified as requiring such review.
• Documentation of clinical rationale supporting findings of review based on the Client's coverage policies and procedures.
• Assist in any later stages of the cases reviewed, including possible Technical Assessment and Medical Policy review and update.
• Review and validate all information about the claim, including member, provider, and plan information.
• Be in charge of any clinical and coding support of the client's Investigation process as otherwise requested.
• Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
• Investigate the rejected claim to see why the denial was issued.
• Investigate insurance fraud and report if found.

Skills: Medical Coding, Clinical Review, Medical Necessity, Policy Documentation, Claim Validation, Coding Support, HCPCS Proficiency, Fraud Investigation

• Perform full-level medical coding, including inpatient coding and all entry and associate-level coding.
• Analyse, research, and correct complex data integrity issues, including inpatient-related cases.
• Abstract and collect pertinent patient information housed in the hospital’s database.
• Contribute to coding compliance and departmental objectives by providing leadership, mentoring, and coding expertise.
• Assist and mentor associate and entry-level coders in identifying and correcting data integrity issues within the electronic medical records system and subsequently facilitate corrections.
• Utilize coding software and coding reference books to perform day-to-day functions and assist associate and entry-level coders in honing and developing medical coding skills.
• Maintain accuracy for all coding and productivity standards.
• Adhere to standard ethical coding guidelines established by professional health information management associations.

Skills: Inpatient Coding, Data Integrity Analysis, Patient Data Abstraction, Coding Leadership, Coder Mentorship, Coding Software Use, Coding Accuracy, Ethical Coding

• Keep current on CPT, ICD9/ICD10 compliance, and editing guidelines.
• Provide education to physicians and staff regarding regulatory issues and compliance.
• Keep current on all regulatory issues and provide feedback to staff.
• Lead auditing of physician services to verify the accuracy of billing.
• Work with or assist other Medical Coders and trainers in the Coding department.
• Schedule follow-up audits for physicians not meeting the clinic's established standards of accuracy.
• Work with other department coders and auditors to verify the accuracy of audits.
• Assist in assigned edits to keep the department current and to identify trends for further auditing.
• Communicate with physicians to ensure records are accurate and complete.
• Provide exemplary customer service to patients and staff.
• Maintain certification and license requirements and submit required evidence of certification/licensure.
• Complete annual performance and competency evaluation process with management and participate in goal setting, performance improvement, and educational training.
• Participate in department quality improvement, clinic safety, infection control, and hazardous materials programs and activities.
• Participate in professional development activities.

Skills: Coding Compliance Knowledge, Regulatory Education, Physician Auditing, Coding Collaboration, Audit Scheduling, Accuracy Verification, Clinical Communication, Customer Service

• Comply with all legal requirements regarding coding procedures and practices.
• Conduct audits and coding reviews to ensure all documentation is accurate and precise.
• Assign and sequence all codes for services rendered.
• Collaborate with the billing department to ensure all bills are satisfied on time.
• Communicate with insurance companies about coding errors and disputes.
• Submit statistical data for analysis and research by other departments.
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures.
• Meet productivity standards.
• Identify any issues or trends and bring them to the attention of the management team.
• Work on special projects.

Skills: Coding Compliance, Audit Review, Code Assignment, Billing Coordination, Insurance Communication, Data Reporting, Clinical Inquiry, Productivity Management

• Monitor completion of visit notes by practitioners, verification of accurate entry of all billing codes for submitting clean claims.
• Ensure appropriate documentation is attached to all paper claims.
• Communicate with the supervisor and/or practitioner regarding any missing information for appropriate coding.
• Run requested reports for the month-end process.
• Monitor charge batch receipt.
• Communicate with practitioners, patients, and insurance companies.
• Follow all HIPAA compliance and privacy standards.
• Educate associates on coding, billing, and compliance updates.

Skills: Claim Review, Documentation Verification, Coding Communication, Report Generation, Charge Monitoring, Stakeholder Communication, HIPAA Compliance, Coding Education

• Provide coding support to billers and management.
• Review and respond to coding review requests.
• Act as a resource for staff on coding issues.
• Research coding questions.
• Conduct audits and assign client audits.
• Audit new employees and employees who have been identified by management as needing improvement.
• Support the Coding Manager, providing coding audit services to clients.

Skills: Coding Support, Review Response, Coding Guidance, Coding Research, Audit Management, Employee Auditing, Client Auditing, Manager Support

• Professionally represent the client at the client's billing office.
• Communicate effectively with clients and team members.
• Determine proper billing procedures/codes according to medical specialties, with an emphasis on pathology, anesthesiology, and radiology.
• Assign appropriate ICD-10 coding to patient charts.
• Maintain compliance with industry standards and best practices.
• Research codes using the tools provided.
• Audit accounts for proper coding, charge entry, and receipt of proper payments/adjustments according to contracts.

Skills: Client Representation, Effective Communication, Specialty Billing, ICD-10 Coding, Compliance Standards, Code Research, Account Auditing, Charge Verification

• Code outpatient surgery centers' records on time, including the assignment of ICD-10-CM, E/M, Procedure Categories, and HCPCS/CPT procedure codes.
• Code an average of 80-150 charts per day.
• Responsible for resolving codes and diagnoses with conflicting or unclear information by utilizing the query tool to gather additional information.
• Ensure 3M encoder updates are timely and accurate.
• Bill cases by furnishing completed assessments of billing supplies and implants.
• Assist with preparation for accrediting bodies and/or state reviews.
• Responsible for reviewing official data quality standards, coding guidelines, company policies and procedures, and clinical resources to ensure coding knowledge and skills remain current.

Skills: Outpatient Coding, High-Volume Coding, Query Resolution, Encoder Management, Case Billing, Accreditation Support, Coding Standards Review, Clinical Resource Use

• Process closed records for diagnostic and procedural coding.
• Maintain coding statistics for the hospital and clinics.
• Act as subject-expert in all matters related to procedural and/or diagnostic coding.
• Meet deadlines, coordinate, and prioritize job activities.
• Interact with all sectors of the public and cooperate with management and other staff.

Skills: Record Processing, Diagnostic Coding, Coding Statistics, Subject Expertise, Deadline Management, Task Prioritization, Public Interaction, Team Cooperation

• Review medical record documentation and accurately assign appropriate ICD diagnoses and procedure codes.
• Provide coding expertise to department management, coding staff, and clinical staff.
• Perform quality review of coding data to assist in proper billing.
• Create and maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State of Massachusetts, as well as national payor coding guidelines as they pertain to professional coding and reimbursement.
• Get charge information for all patients.
• Abstract, analyze, and code medical records information.
• Use ICD9/ICD10 codes.
• Communicate with providers when information is unclear to ensure accurate coding.

Skills: ICD Coding, Coding Expertise, Quality Review, Process Compliance, Charge Capture, Record Abstraction, ICD9/ICD10 Use, Provider Communication

• Acquire, validate, and process data so it is accessible, reliable, and timely in accordance with the needs of customers.
• Achieve thoroughness and accuracy when accomplishing a task.
• Visualize, articulate, and solve complex problems and concepts, and make decisions based on available information.
• Analyze detailed information to determine appropriate compliance with privacy and security rules.
• Gather and integrate critical information to arrive at effective solutions.
• Make timely, informed decisions that take into account the facts, goals, constraints, and risks.

Skills: Data Processing, Data Validation, Problem Solving, Compliance Analysis, Information Integration, Decision Making, Accuracy Focus, Critical Thinking

• Develop more advanced skills and knowledge relevant to the function.
• Perform routine assignments with little supervision and participate in more complex assignments.
• Maintain continuous, open, and consistent communication with customers.
• Listen and ask questions to understand customers' viewpoints.
• Establish effective relationships with customers to understand and meet their needs.
• Ensure customer service standards are met.
• Question currently accepted ways of doing things.
• Generate alternatives before settling on a solution.
• Manage own time and workload effectively.
• Support the team through achieving project deliverables and objectives.

Skills: Advanced Skill Development, Independent Work, Customer Communication, Active Listening, Customer Relations, Service Standards, Creative Thinking, Time Management

• Abstract pertinent information from patient records.
• Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments.
• Obtain acceptable productivity/quality rates as defined per coding policy.
• Query physicians when code assignments are not straightforward, or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Maintain knowledge of and comply with coding guidelines and reimbursement reporting requirements.
• Conduct chart audits for physician documentation requirements and internal coding, and provide the associate/physician and education.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
• Keep abreast of and comply with coding guidelines and reimbursement reporting requirements.

Skills: Record Abstraction, ICD/CPT/HCPCS Coding, Productivity Standards, Physician Query, Coding Compliance, Chart Auditing, Ethical Coding, Guideline Maintenance

• Assign ICD-10-CM and/or CPT-4 codes and appropriate modifiers to outpatient types for all facility coding.
• Assign appropriate CPT codes for infusions and injections.
• Adhere to NorthShore University HealthSystem Coding Policies & Procedures.
• Abstract pertinent information from the patient record.
• Compliantly follow billing guidelines for Medicare and other payers.
• Handle patient information with discretion and integrity.

Skills: ICD/CPT Coding, Modifier Assignment, Policy Adherence, Record Abstraction, Billing Compliance, Payer Guidelines, Information Integrity, Outpatient Coding

• Accurately assign International Classification of Diseases 10-CM (ICD-10) diagnostic and Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes.
• Analyze information for optimal and proper reimbursement, including coding denial resolution.
• Ensure compliance with all appropriate coding, billing, and data collection regulations and procedures.
• Use appropriate software to validate information.
• Provide information to physicians and other health care staff regarding current coding practices and changes in third-party, state, and federal regulations and guidelines.
• Review, analyze, and abstract provider documentation for diagnoses, procedures, ancillary testing, medications, laboratory, and other services provided.
• Obtain missing information and/or clarify existing documentation.
• Independently manage high volumes of inventory within departmental standards.
• Adhere to departmental quality and production standards.
• Assign and review the work of staff.
• Research and resolve problems referred by coders.
• Provide information on the performance of coders to the supervisor for performance evaluation.
• Provide training and serve as a general resource to assist other coders and members of the department staff.
• Take responsibility for administrative responsibilities as designated by team leadership.
• Acquire continuing education via UNC Physicians-approved programs and vendors.

Skills: ICD/CPT Coding, Reimbursement Analysis, Coding Compliance, Software Validation, Provider Communication, Documentation Review, Inventory Management, Coder Training

• Assign ICD-10-CM diagnosis codes, CPT-4, and modifiers for Ambulatory Surgery Center encounters and detail-oriented surgical claims.
• Enter diagnosis codes and CPT codes/charges into the Epic charge review.
• Review and resolve claim errors related to ASC and detail-oriented fees for surgical encounters.
• Review and resolve OCE, NCCI, and medical necessity edits associated with hospital outpatient and detail-oriented specialty encounters, as determined by role.
• Ensure all collected data is accurate, complete, and compliant with state and federal regulations, as well as the Official Guidelines for Coding and Reporting define coding policies and procedures.
• Ensure that encounters are abstracted and finalized accurately and in accordance with defined service level agreements.
• Assist in resolving claim denials related to coding errors or documentation inconsistencies, perform coding changes or charge corrections, and rebill encountered for resolution.
• Support the success of a high-performing shared services organization by helping to champion and drive the long-term Shared Services vision.
• Help foster an environment in which continuous improvement in business processes and services is welcomed and recognized.
• Participate in programs and in using tools in support of building a high-performance culture via standard Shared Services responsibilities (e.g., performance measurement, people development, customer relationship management, etc.).

Skills: ICD/CPT Coding, Charge Entry, Error Resolution, Edit Review, Data Compliance, Encounter Finalization, Denial Management, Process Improvement

• Audit clinical documentation to meet contractual, legal, and regulatory standards.
• Assign correct ICD-10/CPT codes to the accurate level of specificity for services provided.
• Code and release claims within 4 days of discharge encounter to meet claims submission timelines set by payors.
• Support Lightyear Health’s Provider Coding Education Program, an internal program designed to share process feedback with external providers.
• Proactively identify and address process issues while adhering to CMS industry standards.

Skills: Documentation Auditing, ICD/CPT Coding, Claim Release, Coding Education, Process Identification, Regulatory Compliance, Specificity Coding, CMS Standards

• Review provider documentation to ensure that appropriate E&M levels, CPT, and diagnosis codes are assigned before billing out the charges.
• Analyze coding denials every week and assist management in developing corrective action plans to reduce such denials.
• Weekly audit insurance charges and manage AR escalations.
• Evaluate medical records for documentation consistency and adequacy.
• Identify billing error trends and train the billing team on proactively resolving such errors.
• Assist management in developing corrective action plans to improve billing and coding workflows.

Skills: E&M Coding, Denial Analysis, Charge Auditing, AR Management, Documentation Review, Error Trend Identification, Billing Training, Workflow Improvement

• Utilize the paper-based and online representation of the medical record, review, abstract, and apply appropriate diagnostic coding and APC assignment of outpatient and ambulatory surgery patient records according to coding guidelines, according to patient type.
• Utilize NewYork-Presbyterian Medical Group (NYPMG) Department/Practice computer systems to perform job functions.
• Communicate with physicians to clarify documentation as related to APC or coding assignment.
• Ensure complete, accurate, and timely coding and APC assignment.
• Review and analyze the medical record to accurately assign the responsible Attending Physician and Clinical Service in accordance with established guidelines.
• Prepare abstract information in accordance with mandated NYPMG, state, and federal registry programs.
• Correct and resubmit data from abstracts as identified through edit reports from said registries.
• Maintain appropriate files within the scope of responsibilities.
• Participate in activities about Performance Improvement.
• Assist in other departmental/practice areas.
• Communicate with co-workers, supervisors, and medical staff with respect to work functions.

Skills: Outpatient Coding, APC Assignment, Physician Communication, Accurate Coding, Record Analysis, Data Abstraction, Registry Compliance, Performance Improvement

• Review as a second verification basic information for the patient, including name, address, date of birth, social security number, insurance information, and ranking of insurance related to the call, and update on demand.
• Verify receipt of and update PCS information (if non-emergency and/or schedule trips) or payor's preauthorization of services for the trip.
• Verify and update service details, including pick-up and drop-off addresses, date and time, call type, response priority, and transport priority
• Verify the medical details and determine the appropriate service code, ICD-10, or condition codes for the patient's complaints.
• Verify and update the correct amount to charge for the services rendered and the procedures administered.
• Determine the correct procedure codes and modifiers used for the charges, as required by the payor being billed.
• Report any additional information needed.
• Generate a claim for the trip on paper or in the correct electronic submission format-that includes all the necessary details, modifiers, indicators, condition codes, and documentation, and send it to the primary payor.
• Assure HIPAA compliance concerning billing practices.
• Keeps track of all trips and claims.
• Ensures the ePCRs received are equal to the total trips for that day.
• Maintains knowledge of all coding regulations, particularly as it relates to the assigned state or payer.
• Maintains files for all trips and medical documentation.
• Continuously cross-trains in other functional areas.

Skills: Patient Verification, Preauthorization Review, Service Detail Validation, ICD/CPT Selection, Charge Accuracy, Claim Generation, HIPAA Compliance, Coding Regulation Knowledge

• Previous coding experience.
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
• Hospital, inpatient, and surgical coding experience.
• Meditech work experience.
• Strong analytical thinking and problem-solving skills.
• Good verbal and written communication skills.
• Must have MS Excel proficiency.
• Ability to work independently and accomplish targets on time.

Qualifications: BA in Health Administration with 2 years of Experience

• Certified medical coder with one of the following certifications: CPC, CPC-A, CPC-H, or CPMA from AAPC or CCA, CCSP, CCS from AHIMA.
• Minimum of one year of billing and coding experience in a health care organization.
• Knowledge of billing practices and clinic procedures.
• Experience as a medical coder.
• Experience as a risk adjustment medical coder.
• Detail-oriented with the ability to handle and prioritize multiple tasks.
• Ability to learn quickly and take initiative.

Qualifications: BA in Sociology with 1 year of Experience

• Certified Professional Coder via AAPC or AHIMA.
• Certified Professional Medical Auditor - Certified Evaluation & Management Coder.
• Experience in evaluation and management coding/audit reviews.
• Experience supporting the provider related to coding guidelines/documentation guidelines.
• Ability to analyze coding metrics, arrange, and provide face-to-face coding education with providers and staff.
• Excellent presentation skills.
• Motivated and a self-starter.
• Proficiency in computers, including MS Windows, MS Office, and the Internet.

Qualifications: BS in Health Information Management with 3 years of Experience

• Completion of a Coding Certificate program or Health Information Technology Program.
• Experience in coding, billing, and knowledge of insurance reimbursement policies and regulations.
• Coursework in anatomy and physiology, and medical terminology
• Coding Certification from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).
• CPC®, CPC-H, CCS, CCS-P.
• Proficient in ICD-9, ICD-10, CPT®, HCPCS, and modifiers for coding of professional fee services.
• Working knowledge of anatomy and physiology, medical terminology, and insurance reimbursement policies and regulations.
• Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines.
• Accuracy and attention to detail.
• Proficient with computer applications (MS Office, etc), good data entry skills.

Qualifications: BS in Nursing with 4 years of Experience

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
• Experience in outpatient coding and/or Health Information Management.
• Experience in a medical office setting, i.e., ambulatory surgery center, hospital, or doctor's office.
• Completed coursework in Human Anatomy & Physiology, Medical Terminology, and Introduction to Coding (including ICD-10 and CPT).
• Successful completion of an ICD-10-CM training or certification curriculum.
• Must provide certification from a recognized professional coding organization, transcript from an educational institution, or similar proof of successful completion (i.e., competency assessments).
• Good written and oral communication skills.
• Strong interpersonal and customer service skills.

Qualifications: BS in Medical Laboratory Science with 2 years of Experience

• Medical coding experience and familiar with data management processes.
• Knowledge of medical coding, data management validation principles, query process, and medical terminology.
• Experience within the CRO industry.
• Proven knowledge of clinical data management processes and Electronic Data Capture applications.
• Good communication skills - written and verbal English.
• Effective working knowledge of Microsoft Office Suite, including Word and Excel.
• Demonstrated problem-solving, analytical, organizational, and time management skills.
• Demonstrated flexibility and ability to work well in a team environment.
• Full knowledge of clinical data flow and research design.
• Demonstrated ability to be compliant with ICH-GCP/regional regulatory guidelines and Pharm-Olam SOPs.
• Comprehension of study documentation standards, including Trial Master File organization and archival processes.
• Awareness of data standards, preferably CDISC STDM.

Qualifications: BS in Public Health with 5 years of Experience

• Medical Coding Certificate, CPC by AAPC license, and meet state licensure requirements.
• Must maintain coding certification and attend in-service training.
• Proven medical coding experience.
• Understanding of medical terminology, anatomy, and physiology.
• Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software and Microsoft Office Suite.
• Accurate and precise attention to detail.
• Ability to multitask, prioritize, and manage time efficiently.
• Excellent verbal and written communication skills.
• Goal-oriented, organized team player.

Qualifications: BA in Psychology with 3 years of Experience

• Experience assigning CPT/ICD-10 codes billed for primary care services to all insurance payers (commercial, Medicare, Medicaid, and workers' comp)
• Ability to perform billing functions via the Electronic Medical Record (EMR) and Practice Management system.
• Ability to perform data entry accurately, efficiently, and quickly.
• Ability to work effectively in a team.
• Type at least 55 wpm.
• Must be proficient in Excel.
• Excellent organizational and communication skills.
• Can work collaboratively in a team environment.

Qualifications: BA in Gerontology with 1 year of Experience

• Experience in surgical and/or invasive cardiology, including cardiac cath coding.
• Able to apply and adhere to all correct coding principles, current NCCI rules, LCD coverage determinations, currently accepted compliance standards, and all legal, federal, and insurance regulations.
• Experience with the AR team with coding-related denials, including medical necessity, bundling, application of proper modifiers, ICD-10, and CPT-4 code selection.
• Ability to maintain and follow up on outstanding physician coding queries.
• Strong computer skills, including knowledge of MS Word and Excel, Outlook, and Microsoft Teams.
• Experience with Allscripts and various hospital EMR systems.
• Can actively participate in team meetings to enhance functional excellence.
• Ability to maintain confidentiality in compliance with HIPAA regulations.
• Ability to maintain and improve client relations, and always act in the best interest of the company.

Qualifications: BA in Healthcare Management with 4 years of Experience

• Must have CPC certification and maintain it per AAPC/AHIMA guidelines.
• Understanding of ICD-10-CM and CPT coding principles and guidelines.
• Knowledge of medical records analysis, processing techniques, and standards.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to effectively present information and respond to questions from customers and the general public.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to calculate figures and amounts, such as discounts and percentages.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Qualifications: BA in Business Administration with 2 years of Experience

• Medical Billing experience.
• Certified Coding Certification (CPC, CMC, CCS).
• Proficient knowledge of Medical Terminology, ICD-10, and CPT-4 Codes.
• Proficient in computer software and database skills.
• Excellent analytical skills.
• Excellent oral, written, and interpersonal communication skills.
• Ability to work well in an environment with firm deadlines with results-oriented.

Qualifications: BS in Clinical Research with 1 year of Experience

• Experience working in an ambulatory healthcare environment.
• Experience with physician E&M coding and billing.
• Coding experience in an electronic health record environment.
• Previous experience with Epic EMR and practice management/billing modules.
• Ability to build and maintain effective relationships with internal stakeholders.
• Strong written and verbal communication skills.
• Excellent organizational skills and the ability to multitask in a fast-paced environment.

Qualifications: BS in Kinesiology with 3 years of Experience

• CCS-P and/or CPC certification.
• Thorough working knowledge of ICD-10, CPT, HCPCS coding systems, and modifier usage
• Professional coding experience, preferably with outpatient coding experience and a background in coding for multi-specialty practices
• Thorough knowledge of medical terminology and medical abbreviations, and the ability to read text for long periods of time from printed materials/computer.
• Able to work independently and meet established deadlines.
• Able to make sound, reasonable decisions.
• Highly organized.
• Ability to identify and calmly handle inherently stressful situations with tact.
• Ability to concentrate on many detailed requests despite numerous interruptions and respond accordingly with an appropriate sense of urgency.
• Demonstrate accountability, professionalism, openness, receptivity to change, creativity, and innovation.

Qualifications: BS in Biomedical Sciences with 4 years of Experience

• Experience in medical coding.
• Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC).
• Knowledge of HCPCS, ICD, CPT, and DRG.
• Knowledge of ICD-10 coding.
• Proficient in the use of the Internet.
• High level of discretionary and strong interpersonal skills
• Ability to work independently or in a group.

Qualifications: BA in Social Work with 2 years of Experience

• Proven work experience as a Medical Coder or similar role.
• Certified medical coder with one of the following certifications: CPC, CPC-A, CPC-H, or CPMA from AAPC or CCA, CCSP, CCS from AHIMA.
• Proficient in computer skills.
• Experience working with coding software.
• Excellent communication skills, both verbal and written.
• Outstanding organizational skills.
• Ability to maintain the confidentiality of information.

Qualifications: BA in Community Health with 1 year of Experience

• Experience in medical records, claims, or billing areas.
• Previous medical office experience.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Excellent typing and 10-key speed, and accuracy.
• Committed to a high level of customer service.
• Superior mathematical skills.
• Familiarity with ICD-9 codes and procedures.
• Solid oral and written communication skills.
• Working knowledge of medical jargon and anatomy.
• Able to work independently.

Qualifications: BS in Medical Technology with 2 years of Experience

• In-depth knowledge of medical terminology, ICD-10-CM/PCS, and CPT-4 Coding conventions.
• Knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs).
• Basic concepts of human anatomy, physiology, and pathology.
• Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques.
• Excellent organizational skills, including the ability to multitask, prioritize essential tasks, follow through, and meet timelines.
• Ability to work with accuracy and attention to detail.
• Ability to solve problems appropriately using job knowledge and current policies/procedures.
• Ability to work cooperatively with members of the healthcare delivery team and staff.
• Ability to handle frequent interruptions and adapt to changes in workload and work schedule, and to respond quickly to urgent requests.
• Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance with HIPAA rules and regulations.

Qualifications: BS in Allied Health with 3 years of Experience

• Experience in hospital/physician coding and/or hospital/physician billing.
• CPC (CPC-A, CPC-H, or CPC-P are all acceptable), RHIT, or CCS Certification.
• Extensive knowledge of CPT, HCPCS, ICD-10 codes, anatomy and physiology, and medical terminology.
• Knowledge of coding rules and regulations for issues regarding medical record documentation, compliance, and reimbursement, including medical necessity, claims denials, bundling issues, and charge capture.
• Solid oral and written communication skills.
• Strong reasoning skills.
• Ability to work independently, and in a matrixed, team-oriented, fast-paced project environment.
• Proficient in the use of computers (Windows PC Applications) and HIPAA testing.

Qualifications: BS in Pharmacy Studies with 4 years of Experience

• Successful completion of a Medical Coding Course.
• Healthcare-related billing, coding, and collections experience for a hospice, hospital, nursing home, or physician’s practice.
• ICD-10/HCPCS/CPT coding certification and experience.
• Familiar with Microsoft Office applications - Excel, PowerPoint, Word, and Mail.
• Able to read, write, and speak English well.
• Ability to effectively communicate with patients and other staff members.
• Knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated records.

Qualifications: BS in Medical Imaging with 2 years of Experience

• Coding experience in a Physician's Office and/or Clinical Environment.
• Certified Procedural Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC).
• Certified Professional Coder (CPC).
• ICD-10 knowledge.
• Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and ambulatory surgery), and documentation requirements.
• Familiarity with medications and reimbursement guidelines.
• Previous encoder experience.
• Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
• Excellent computer/communication skills for provider and staff interactions.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Qualifications: BA in Human Services with 3 years of Experience