Senior Medical Coder

Requirements:

Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD, Modifiers, CPT, HCPCS codes.

- Must have a minimum 3+ years of experience in E&M inpatient and/or outpatient medical record review, coding and reimbursement. Coding audit experience preferred.

- Must have strong knowledge of ICD-10 CM/PCS and CPT coding and prospective payment systems and proficiency with Microsoft Windows operating systems and Office applications, such as Word, Excel, PowerPoint

- Able to work well with minimal supervision.

- Able to communicate clearly both written and verbally.

- Able to generate reports for management review that present audit results in a clear manner.

- Able to meet deadlines and respond well to frequent changes in regulation.

- Able to maintain positive and productive relationships with internal and external teams and customers.

- Able to work independently and be a self-starter.

Roles & Responsibilities:

- In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.-

- Creates update tracker and responsible for updating the team on trends and changes.

- Provides feedback & coaching on common error scenarios

- Performs review of claims denied/rejected for coding, documentation and clinical validation.

- Prepares reports for management review and identifies trends.

- Conducts focused retrospective audits and regular scheduled audits of individual coders.

- Creates update tracker and responsible for updating the team on trends and changes.

- In conjunction with the Coding Supervisors and Coding Manager, contributes to the development of educational and training opportunities for staff.