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Demonstrate proficiency in working claim edits, denials and rejections to support revenue cycle goals with timely and accurate billing. Collaborate with other departments to alert and resolve coding issues, CDM issues and other compliance issues effecting reimbursement.
Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Addresses NCCI, OCE, LCD and other coding edits as applicable.
3-5 years experience required.
Knowledge of NCCI, OCE and LCDs mandatory. Must have a minimum of one year’s experience in outpatient coding and/or hospital billing and follow up. Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to: Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc.
High School Diploma required.
One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.
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