Certified Medical Coder Job at Hometown Health Centers
The Certified Professional Coding Specialist is responsible for on-site routine and complex encounter coding. Ensure appropriate coding of services (CPT-4, HCPCS), and diagnosis (ICD-10CM) based on review of the entire clinical record for Hometown Health Centers professional fee claims
Work in partnership and joint accountability with Providers, Nurses and other team members to achieve Hometown Health Centers service commitments and goals.
- Review provider coding of services provided (CPT-4, HCPCS), diagnoses (ICD-9CD), for medical claims
- Review and respond to coding inquiries submitted by providers
- Correct and resubmit claims based on review of the records, provider input, and payer input
- Work directly with providers to resolve specific coding issues
- Act as the liaison between providers, staff, and outside parties on coding issues
- Work with electronic medical record team to develop and implement strategies to make appropriate documentations, and bill editing as efficient as possible
- Work with clinical and non-clinical groups to develop, implement, and communicate specific coding and documentation guidelines that will fulfill the internal needs for complete and consistent clinical data
- Answer incoming patient and insurance company phone calls as received
- Meet productivity standards as set by the department
- Review and post daily charges
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