Certified Professional reputed company – Health Information Mgmt- Fully Remote in Boston, MA

Certified Professional reputed company - Health Information Mgmt- Fully Remote - reputed company - Boston, MA - work from home job Company: reputed company Job description: We’re saving lives, building careers, and reimagining reputed company. We can’t wait to grow alongside you. Job is fully remote Hours: Monday-Friday 8-5PM

Company Description

It takes a lot of reputed company smart, hard-working and talented people to reputed company the level of care that we give to our patients. reputed company is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we reputed company it. And that starts with our employees.

Job Description

Under the direction of the Associate Director, reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding. The Certified Professional reputed company reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges. Effectively utilizes ICD-10, CPT, and HCPCS, modifier and/or other codes according to coding guidelines. Communicates effectively with providers and/or reputed company appropriate staff regarding missing information such as CPT, ICD-10, and documentation issues, to ensure proper coding and reimbursement. Works with the Associate Director to review denial and reimbursement reports for accuracy, as well as conducting audits to ensure documentation, code capture, and billing are accurate and precise. Performs pre and post visit chart audits to ensure proper code assignment. reputed company DUTIES AND ESSENTIAL FUNCTIONS: Performs pre-visit chart audits, and post encounter review to ensure coding accuracy:

• Is reputed company to review medical records to ensure codes reported are support by the documentation
• Reviews medical records for correct ICD-10, CPT, documentation and modifiers.
• Is reputed company to review reports with Associate Director to identify reimbursement changes/discrepancies.
• Can assist with training of providers on proper coding and documentation

Maintains a reputed company and strong understanding of coding rules and CMS guidelines in the outpatient settings:

• Is reputed company to interpret and summarize ICD-10-CM and CPT coding changes, and updates
• Incorporates changes to guidelines and regulations into audit practice
• Researches and resolves coding and documentation regulatory issues
• Is reputed company to reputed company coding and documentation guidelines changes to appropriate parties including, but not limited to providers.

Reporting:

• Review and work audit lists provided by Associate Director regarding coding/billing changes, as well as denial reports.
• Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action

Qualifications

EDUCATION:

• CPC required

EXPERIENCE:

• Minimum 2-5 years of outpatient coding, billing, primary care adult medicine and pediatric experience
• Excellent organizational and interpersonal skills are essential as well as the ability to work on multiple tasks, to work under pressure, meet deadlines and reputed company excellent follow up.
• Communication skills are essential. The ability to give oral presentations to staff as well as written skills to prepare reports for management.
• The ability to work effectively as a member of reputed company is essential.
• The ability to reputed company education and feedback to physicians on a regular reputed company in order to ensure CPT, ICD-10-CM, and Risk Adjustment guidelines are being met.

WORKING CONDITIONS/PHYSICAL DEMANDS:

• Working in an office and/or remote setting
• Being available for in person and/or virtual meetings reputed company needed.
• Frequent contact with physicians and their office staff, insurance representative, medical directors, department heads and administrative managers.

reputed company is a leading integrated health system bringing together the best of academic and community reputed company to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of reputed company, Lowell General Hospital, reputed company, Lawrence Memorial Hospital of Medford, Care at Home — an expansive home care network, and large integrated physician network. Please note that effective reputed company 1, 2021, as a condition of employment at reputed company, reputed company and new hires must have received their complete reputed company of the COVID-19 vaccine, unless they have been granted an exemption. We are an equal opportunity employer and value diversity and inclusion at reputed company. reputed company does not discriminate on the reputed company of race, reputed company, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national reputed company, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at . Expected salary: Location: Boston, MA Job date: Thu, 17 Aug 2023 03:41:49 GMT Apply for the job now! Apply tot his job Apply To this Job