Responsibilities:
Performing audits of E/M coding for providers including physicians and mid-level providers;
Accurate selection of CPT codes to determine if the code was assigned without appropriate documentation to support the code (up-coded services);
Accurate selection of CPT codes to determine if the code was assigned with documentation to support a higher level service (down-coded services);
Accurate application of modifiers to CPT codes;
Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;
Adherence to Local Coverage Determination (LCDs) or National Coverage Determination (NCDs) if applicable;
Appropriateness of documentation for split/shared or incident to services;
Appropriateness of provider?s documentation related to Teaching Physician Guidelines, PQRS, FQHC and RHC's as applicable;
Use scoring methodology to accurately score audits;
Provide detailed findings for each service reviewed on an excel spreadsheet or other customized report;
Communicate with Coding Team Lead on audit timeline task completion.
Qualifications:
Education/Cert: A minimum of a high-school diploma, Associates Degree preferred. Successful completion of at least one AHIMA or AAPC certified program with achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing, preferably a combination of two or more credentials. A CPMA certification is required.
Experience: Minimum 3 years physician coding experience and 3 years E&M auditing experience required. Must have proficient knowledge of medical terminology, CPT and/or ICD-9/10 coding and Medicare and Medicaid billing policies for professional services.
Additional skills required: Experience with Microsoft Word, Excel, PowerPoint, Windows and healthcare information and billing systems. Experience working independently, excellent time management skills and the ability to meet project deadlines a must.
About Medkoder, LLC:
? Privately held, growing company with strong values and ethics
? Professional development and education
? All positions are permanent ? no contracts or sitting on a ?coding bench?
? Time Off: 12 vacation days, 5 personal days, and 8 paid holidays ? Flexible schedules year-round
? Internal network of Medical Coding Industry Leaders ? CEO is a certified Coder with 20+ years of experience
? 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees and families
? 401K and Profit Sharing
? STD, LTD, Life insurance, and FSA Program
? Paid AAPC and AHIMA corporate memberships
? 30 Hours of CEU pay (continuance in education)
? $90 cell phone allowance for FT employees
If you meet the above qualifications please apply via our website at www.medkoder.com. Feel free to PM me with any questions.
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CPMA with experience needed