Responsibilities
- Review and analyze medical records and documentation for inconsistent documentation practices and offer remediating solutions.
- Perform ongoing outreach/education for new and existing coders on Emergency Medicine & Hospital Medicine coding and documentation requirements using a variety of formats.
- Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services based on medical documentation.
- Validate the accuracy of codes and ensure adherence to coding guidelines and regulations.
- Maintain up-to-date knowledge of coding standards, regulations, and payer policies.
- Ensure compliance with federal, state, and payer-specific coding guidelines and requirements.
- Review and address coding discrepancies and provide feedback coding leadership team.
- Conduct audits of coded records to ensure accuracy and compliance.
- Provide recommendations for coding improvements and best practices.
- Review new business medical records for documentation opportunities and templating education.
- Utilize coding software and electronic health record (EHR) systems efficiently.
- Stay informed about updates and changes to coding systems and software.
- Serves as a resource for expert knowledge in coding and documentation requirements.
- Perform other related duties as assigned.
Qualifications
- EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required.
- Strong organizational skills with the ability to multi-task in a fast-paced environment.
- Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.
- Knowledge and understanding of medical coding and billing systems and regulatory requirements. Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.
- Clear and coherent communication and interpersonal skills and demonstrated ability to interact with a variety of team members.
- Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.
- Strong analytical skills and the ability to work independently to analyze and solve problems.
- Adept at learning proprietary software applications.
- Collaborate with professionals internal and external to the company and across geographic locations
- Exhibit growth mindset and team-orientated behaviors
- Navigate competing priorities and effectively work in a fast-paced environment
Screening Criteria
- Bachelor’s degree or equivalent is required.
- At least one (1) to two (2) years of experience in Medical Coding in a Hospital or Physician practice environment desired.
- Must have a stable employment history.
