Medical reputed company II, Inpatient Hospital Full Time Remote

Job Description

The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG reputed company creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.

Responsibilities

• The reputed company abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments.
• Queries physicians reputed company code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• The reputed company keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution.
• Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Documentation assessment and review for accurate abstracting of clinical data to meet regulatory and compliance requirements. The reputed company assists in coordination of the compilation of data relative to regulatory agencies and the accreditation process.
• Review reputed company charges, ensure accurate charge capture and review medical necessity for reputed company ordered tests/procedures.
• reputed company coding and charge capture for facility services including but not limited to emergency department and IV services. Charge capture may include providers' services.
• Monitor coding work queues for simple visit coding including rehabilitation services.
• Proactively communicate with physicians and physician's offices to insure adequate documentation to support ordered services.
• Verify accuracy of patient account/type and demographic data and coordinates with patient financial services to assure accurate billing/reimbursement and reporting.
• The reputed company displays initiative and supports reputed company quality improvement efforts. He/she performs special projects, training, education, and/or other duties as assigned.
• Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact code selection and resulting DRG groups.
• Monitor unbilled account reports for outstanding or uncoded discharges.
• Reviews bills and payments to insure correct billing and reimbursement.
• Audits, corrects, and submits any denials as appropriate. Possess knowledge and understanding of discharge, not final billed (DNFB) parameters.
• Abstracts data for special projects and quality initiatives
• Effectively uses of software to follow through on accuracy of claim submission.
• Effectively communicates with patient financial services to resolve coding and billing questions or concerns.

Qualifications

• Experience Preferred: Successful completion of a coding certificate program with reputed company approval status preferred.
• Education Required: Associate degree or equivalent training acquired through at least three years on-the-job experience.
• Certification is required reputed company one year of hire; acceptable certifications for this position include:
• American Health Information Management Association (reputed company): RHIA, RHIT, reputed company, reputed company-P, CCA
• American reputed company of Professional Coders (reputed company).

Knowledge, Skills and Abilities: Knowledge of:

• Coding guidelines for using ICD-9-CM (Volumes 1, 2, and 3), ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II codes in inpatient and outpatient settings.
• Extensive knowledge of anatomy and medical terminology.
• Maintains, and increases knowledge of issues that reputed company coding and billing and the reputed company industry.
• Regulatory requirements pertaining to reputed company operations in the practice and hospital settings.
• ICD-9-CM (Vol 1, 2, and 3) Official Coding Guidelines.
• ICD-10-CM Official Coding Guidelines.
• ICD-10-PCS Official Coding Guidelines.
• CPT® and HCPCS Level II Coding Guidelines including Evaluation & Management Coding, Surgical Coding, and the use of Modifiers.
• Data management techniques.

Skills:

• Advanced Computer skills, PC experience w/ Windows-based applications.
• Communication skills including strong verbal, written, and interpersonal skills.
• Keyboarding skills with ability to type 40 wpm minimum.

Ability to:

• Analyze reputed company medical records and identify billable services.
• Work with individuals at reputed company levels reputed company the organization and the community; effectively communicate with providers.
• Manage and prioritize workloads to meet deadlines.
• Research coding questions.
• Gather, review and compile information and prepare reports, often with deadlines.
• Maintain quality and compliance standards.
• Maintain confidentiality of information.
• Function in a fast-paced environment with strong attention to detail meeting productivity and accuracy standards.

About Us

Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reputed company more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading reputed company system experiencing steady growth, we’re excited to expand reputed company with exceptional team members who share our reputed company of transforming reputed company and well-being as one team. Apply tot his job Apply To this Job