ESSENTIAL FUNCTIONS
- Keep current with all coding systems used by InterMed including CPT-4 and ICD 10
- Work closely with departments to optimize coding, reduce denials, and ensure compliance with all coding rules and guidelines.
- Provide consultative services to physicians and staff on complex coding issues and problem areas identified by internal or external coding audits.
- Train providers and staff to code services according to correct coding guidelines
- Adjust coding as necessary, completing supporting worksheets documenting rationale for coding decisions, comparing auditor findings against those generated from the provider, identifying, and recording discrepancies, and recording the rationale for changes in coding decisions.
- Maintains current knowledge to ensure that InterMed coding and documentation meets regulatory guidelines and audit standards and results in appropriate reimbursements.
- Maintains professional competency in professional services coding and documentation requirements.
JOB REQUIREMENTS
- High school diploma or GED required
- One of the following required: Certified Coding Specialist – Physician based (CCS-P), Certified Procedural Coder (CPC), Registered Health Information Administrator (RHIA), or Registered Health Information Technologist (RHIT)
- Three to five years of medical record coding experience preferred
- Proficiency in Microsoft Office suite (Word, Excel, Outlook, and PowerPoint) is required as well as the ability to quickly learn and retain knowledge of how to use the electronic medical record.
- Proficiency with Windows based computer applications
- Must be familiar with Medicare and Medicaid billing policies & procedures
- Thorough understanding data systems and reporting for health record coding, abstracting, and performance metrics
- Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology and concepts of disease processes and the link to proper assignment of clinical conditions documented and procedures performed
- Proficient and in-depth knowledge of ICD-10-CM, CPT and HCPCS and Evaluation and Management coding guidelines
- Exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation
- Excellent interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations
- Excellent time management skills
- Abides by the Standards of Ethical Coding as set for by AHIMA and AAPC
- Ability to work independently with minimal supervision is required
- Ability to maintain the confidentiality of patient information in accordance with company policy & procedure, and HIPAA regulations.
- Ability to work autonomously and collaboratively with team members, including cross coverage to achieve the overall objectives of the department and organization
- Ability to demonstrate and uphold InterMed’s Values
InterMed is an equal opportunity workplace and prohibits discrimination or harassment of any kind. We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.
Qualifications