This includes queries to the physicians regarding appropriate documentation for any additional codes. Sent secondary claims upon processing of primary insurance. Seeks assistance when confronted with difficult and/or unpredictable situations. Build a digital presence by writing articles on famous developer’s communities or taking on side gigs that can make yourself more known to your peers in the industry. Guide the recruiter to the conclusion that you are the best candidate for the coding job. Fosters strong results orientation within functional area by motivating staff and holding them accountable to meeting customer needs and organizational goals. Adheres to Standards of Ethical Coding (AHIMA). ), Presents and participates in Revenue Cycle meeting and shares experiences with additional hospital departments that may benefit from audit results, department reviews or coding reviews, Participates and assist in CDM creation and review, monitor CDM use to ensure compliance and communicate results back to clinical department or Physician Practice Director, Informs & educates the PFS department when there are missed opportunities in revenue generating in order to maximize reimbursement within accepted standards of practice & reimbursement guidelines, Works with a staff on various projects being managed simultaneously and implementing change with minimal disruption of business and departmental operations, Instructs and coaches employees with charge entry and documenting audits, Researches and analyzes compliance and billing concerns that may affect the fiscal health of the hospital, Creates, manage and implements HIM Department coding policy and procedures, Bachelor's Degree or Associate Degree in Health Information Management preferred, Ability to communicate clearly and courteously (verbal and written) with internal and external customers, Good organizational skills and adaptability to frequent changes in assignments, General knowledge of revenue cycle including physician office or clinical hospital experience in revenue or charge capture projects preferred, Maintain active membership in national association with required C.E. The section contact information is important in your medical coding resume. It’s actually very simple. (10%), Assists with entering charges for coder. Review charts for correct admit/discharge dates and entered proper surgery dates, Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing, Accurately post and reconcile payments to patients account, at the same time research and resolved any incorrect rejections, and other issues with outstanding visits, Worked account receivable reports based on payers, Generated weekly status reports in Microsoft Excel to meet with physicians and management to communicate pertinent information regarding payer trends and physician issues, Coded for Bariatrics, General Surgery and Gastroenterology, Generated tracking reports in Microsoft Excel and used eClinical daily for billing processes, Experienced Coder for Podiatry, Pain Management, Orthopaedics and Bariatrics, Accurately assign ICD-9-CM and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record, Performs targeted coding and documentation record and claim reviews; correct any deficiencies and prepare report on findings and recommendations. Within a week of uploading my resume, Daily Coding Job matched me with jobs that fit my experience. It gives the CPC-A the platform to entice the interviewer with a strong list of qualifications, skills, and abilities, before indicating that the work history in medical coding may be lacking. Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts. Makes recommendations for improvement to physician and hospital practices as necessary, Partners with Revenue Cycle Management to create, support, and maintain policies related to coding compliance activities, Creates physician and staff education around findings and/or trends in denials or other significant metrics in conjunction with internal audit initiatives, Monitors the work of department Coders for accuracy and compliance, Knowledge of Health Information Administration or related field, as normally acquired through the completion of a Bachelor's Degree, Credentials in one (1) or more of the following, Hold and maintain CPC, CCS-P or CMC coding certification, A minimum of 5 years health care experience in a physician group practice or other ambulatory care setting, A minimum of 5 years of coding experience for a multi-specialty group, A minimum of 2 years of experience conducting provider education and audits, Hold or obtain and maintain ACS E/M or CEMA or CPMA CRC auditing certification within 6 (six) months of hire, Bachelor’s degree or equivalent experience in health care related field, Coding Technical Skills- extensive regulatory coding (ICD-10-CM, ICD-10-PCS, CPT/HCPCS,, MS-DRGs, APR DRGs) and associated reimbursement knowledge, Case Mix Index Analytical Skills – ability to analyze trends in CMI and determine root cause and address as appropriate, Organization – establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task, Perform ongoing chart reviews of targeted physician offices in a timely manner for HCC data extraction to meet CMS sweep deadlines, Perform ongoing chart audits of targeted physician offices to ensure HCC data is validated in preparation for health plan internal audits and/or CMS RADV audits, Responsible for the data collection of medical records as requested by the plans for chart audit/review purposes, Responsible for preparing chart audit findings and communicating this back to physicians in timely manner, Responsible for presenting chart audit findings as well as physician performance trends to management, Develop physician group training utilizing data and findings from chart reviews to help ensure proper documentation elements are in place, Provide risk adjustment in-services to physician offices as needed, Responsible for the development of content for monthly fax blast, quarterly provider newsletter, and website, Assist in developing strategic initiatives related to HCC score improvement for physician and IPA, Responsible for the development of risk adjustment tools as needed and/or as requested by physician offices, Annual update of PCP and Specialist superbills, Perform audits of HCC patient data as reported by health plans for purposes of reconciliation of payment, Participate in tele-conferences and off site conferences as needed to be informed of current CMS requirements, Provide training to appropriate internal staff related to HCC documentation and coding, Perform other assigned duties / special projects on an as-needed basis, Foster positive interaction and relationships with all internal departments as well as cultivating positive working relationships with external contacts, Prevent and avoid harassment and discrimination. Collaborates with electronic medical record team to develop and implement strategies to make appropriate documentation, and bill editing as efficient as possible. Thank you, Daily Coding Job for being a blessing to me during a difficult time. Bachelor's degree in Healthcare preferred, Knowledge of ICD-9-CM, ICD-10-CM/PCS and CPT-4 coding, Knowledge of Medicare, Medicaid, and third party coding requirements, Problem Solving:Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues, Team Work:Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Your next step on your career path is to write a cover letter and resume. Other. : in-services, formal educational programs, other work groups and on-the-job training), Performs analytical and decision making functions with minimal supervision, Recognizes and seeks assistance/consultation when appropriate, Manage all aspects of guideline management, from sign-off of new mandates, interpretation and coding, through to review breach information, Interpretation of investment restrictions for Funds (Regulatory, Prospectus and Internal restrictions) and segregated mandates, covering Equity, Multi Asset, Private Equity and Real Asset portfolios, Negotiate guidelines with investment desks and CPMs to prevent manual guidelines, Ensure any agreed upon manual guidelines are documented fully via the Risk Acceptance process, Oversight and coding of investment guidelines into our proprietary compliance system PTC/Tripwires (Equity) and our vendor based application thinkFolio (Multi Asset), Foster strong working relationships with the front office, whilst maintaining an independent view, Attend external user group forums to discuss the impact of regulatory changes, Review guideline restriction coding as part of the account reviews process, Good Product knowledge covering all the major asset classes, Ability to deal with people at all levels within the organisation, Able to multi-task and constantly prioritise workflow, Working knowledge of the regulatory framework for European funds (UCITS), Strong all round PC skills (Microsoft applications), 3 years Health Information Management experience in an acute care facility, Preferred data entry and basic office skills, i.e. Preformed documentation reviews for coding guidelines and medical necessity requirements. Educates staff and physicians based on yearly code changes, Utilizes IDX and Invision billing system to obtain, analyze and interpret coding, denial and other reimbursement data, Collaborates on site with clinical staff to help maximize their financial benefit with comprehensive documentation and accurate completion of encounter forms, Conducts research on coding for proposed new services to ensure accurate coding and billing, Maintains knowledge of coding and billing requirements. Makes recommendations for changes and improvements, Utilizes IDX and related modules to obtain, analyze and interpret coding, denial and other reimbursement data to support compliance and practice management activities, High School Diploma or equivalent, required. Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance. Ensured clinics were prepared for HIPPA and JCAHO reviews, Key player in department achieving JCAHO accreditation, Excelled within a deadline intensive environment consistently meeting on time completion of projects, Trained all new employees on using the computer software and clinical coding specifications. Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules and JCAHO standards. Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work. Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules. Must be able to concentrate in depth, continuously and manipulate detail to arrive at summary data with application to TH PACE necessary, Candidates should also possess the ability to work as part of a team, Upholds the values and mission of the Tandem Hospital Partners family, Responsible for ensuring accuracy and efficiency in the medical records department, Reviews processes and identified area for improvement taking into account user needs, May act as a liaison between Information Services and Technology Department, ensuring that systems are accessible and in accordance with the needs of the organization, Insures that all record keeping and information disbursement complies with local policies, federal and state laws and statutes and HIPAA regulations, Will plan, direct and organize the activities of the Coding Department, Supervises and plans the process improvement activities while overseeing the daily operations consistent with the facility policies and procedures, Department planning including operational goals and objectives, Supervises and coordinates activities of personnel engaged in analyzing, compiling, indexing and filing of health information records of patients with total regards to confidentiality, Arranges for training of departmental personnel in indexing, filing, medical terminology, transcription, coding, outlining procedures, instructing in policies and practices of the hospital, suggesting methods for performing tasks and instructing personnel in medical ethics, Encourages continuing education through workshops, webinars and correspondence courses, Maintains surveillance of incomplete patient health records and follows up until records are completed and filed. 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