Tidelands Health

Compensation

Full Description

Job Description: • Analyzes medical records, interprets documentation, and assigns ICD-10-CM, CPT, and HCPCS codes • Enters charges for procedures that are not soft coded as instructed • Codes complex diagnostic and procedural accounts • Completes daily assigned cases utilizing work lists/work queues • Works closely with Patient Financial Service to review documentation and serve as department expert • Assists with written appeal letters, dispute determination responses, and redetermination • Gathers and verifies information required to produce a clean claim • Reviews and resolves account checks, clearinghouse rejection errors, denials, and charge review daily • Collaborates with the Compliance/Quality Team on coding quality issues; implements coding quality recommendations Requirements: • High School Diploma or equivalent • Minimum of two years of progressive on-the-job coding experience in an acute care hospital or physician's office or successful completion of Tidelands Health coding cross-training program • Knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance • Ability to assign ICD-10-CM, CPT and/or HCPCS codes to complex diagnoses and procedures in an integrated system of outpatient and emergency records • Solid knowledge of hospital documentation, and coding workflows and terminology • Proficient at writing AHIMA-compliant physician queries • Functional knowledge of facility EMR, 3M encoder, CDI tool, and other support software Benefits: • Health insurance • Flexible work hours