Med Rec Coder III

Reviews codes for accuracy in accordance with coding rules and policies. Responsible for system edit reviews and follows up on insurance coding denials for resolution.

Responsibilities

Reviews codes for accuracy in accordance with coding rules and policies; Responsible for system edit reviews and follows up on insurance coding denials for resolution; Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation; Completes system edit reviews to make corrections before transmittal; Troubleshoots problems that prevent claims from being released; May abstract data and review codes for accuracy; Responds to coding information requests and inquiries from various sources; Consults with internal customers and external vendors; Other duties as assigned

Requirements

High School diploma or equivalent and 1 year Medical Coder experience required; Knowledge of ICD-10CM, CPT and HCPCS required; Working knowledge of medical terminology and anatomy required

Nice to have

Associate's degree preferred; AHIMA accreditation examination for RHIA or RHIT or CCS preferred; CPC from AAPC or CMC from PMI preferred