What are the responsibilities and job description for the Coder - Non-Certified position at Catalyst Medical Group LLC?

Job Description

Description :

The Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT).

General : Performance Expectations

Responsible - works independently, in a safe and appropriate manner. Demonstrates both problem-solving and problem-prevention skills.
Sensitive - displays sensitivity to the needs of patients and co-workers. Demonstrates good communications skills and empathy.
Timely - recognizes time as a customer's most valuable resource and responds promptly to patients' and co-workers' needs.
Accurate - works carefully and precisely, with attention to detail.
Coordinated - organizes and delivers service in the proper order. Displays good organization skills and utilizes resources wisely.
Thorough - meets all the requirements of his / her position. Is able to evaluate and follow up on his / her services.

Role Specific : Work role responsibilities

Coding daily charges

Coding radiology charges

Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

Researches and analyzes data needs for reimbursement.

Analyzes medical records and identifies documentation deficiencies.

Reviews and verifies documentation that supports diagnoses, procedures and treatment results.

Identifies diagnostic and procedural information.

Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.

Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.

Follows coding conventions.

Identifies discrepancies, potential quality of care, and billing issues.

Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.

Identifies reportable elements, complications, and other procedures.

Handles special projects as requested.

Knowledge of medical terminology and anatomy and physiology

Demonstrated strong written and verbal communication skills

Healthcare systems knowledge

Proven work experience as a Medical Coder or similar role

2 years of work experience as a Medical Coder

Proficient computer skills

Administrative writing skills

Work with coding software

Outstanding organizational skills

Ability to maintain the confidentiality of information

Requirements : Required

High school Diploma

Preferred

Coding experience or course

Knowledge of CMS coding and documentation guidelines.

Knowledge of third-party physician service coding and billing practice.

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