Multispecialty Denials Medical Coder - US Healthcare

Roles and Responsibilities

• 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. 

• Serves as resource and subject matter expert to other coding staff. 

• 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. Serves as coding consultant to care providers. 

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

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

• Identifies reportable elements, complications, and other procedures. 

Skills and Requirements

• Proven work experience as a Medical Coder (CPC Certified)

• 1+ years of work experience as a Medical Coder Particularly in Denials Management

• Specialized in either Radiology/Anesthesia/OBGYN/Denials

• Excellent communication skills, both verbal and written 

• Outstanding organizational skills 

• Ability to maintain the confidentiality of information