Experience Inc. Jobs

Description

We are offering a contract opportunity for a Medical Coder based in Minneapolis, MN. As a Medical Coder, your key role will be to review and accurately assign medical record documentation, serve as an essential resource for coding and compliance queries, and perform stringent quality checks before billing. This role is fully remote but does require candidates to be local to Minnesota for occasional onsite meetings. This role has a schedule of 32 hours per week.

Responsibilities

• Accurately assign ICD-10, CPT, and HCPCS codes by reviewing medical record documentation in adherence to correct coding guidelines and AHIMA’s standards of ethical coding.

• Act as a reliable resource for addressing coding and compliance questions.

• Provide guidance to physicians and non-physician practitioners on compliance regulations and coding guidelines.

• Conduct coding and compliance education sessions with medical providers, documenting attendance, methods, context, and evaluation of feedback.

• Train and educate support staff in various aspects of coding.

• Develop and maintain up-to-date coding compliance manuals, materials, and policies for staff education, training, guidance, and charge capture.

• Implement, monitor, and follow the clinics Compliance Work Plan under the direction of the Director of Compliance.

• Carry out audits/internal monitoring of medical record documentation and corresponding coding, provide reports and feedback, and educate on deficient areas discovered in audit. Make recommendations and follow-up.

• Analyze problem claims, compare coding with medical record documentation, and make any appropriate changes.

• Consult with medical providers for clarification of coding and compliance issues when necessary.

• Track rejections/denials of claims after changing to ensure appropriate adjudication. Assess risk based on the types of denial/rejections received.

• Document and report non-compliance concerns to the Director of Compliance for further follow-up.

• Collaborate with the provider liaison and coding consultant(s) regularly to discuss coding and documentation issues.

• Work actively with the electronic health record team in the evaluation and testing of the EHR to ensure accurate documentation in the EHR and appropriate capturing of charges for services, procedures, and supplies rendered during an office visit.

• Implement new ICD-10 codes and other coding factors, playing a key role.

Requirements • Minimum of one year experience in the medical coding field

• Proficiency in Medical Coding, including ICD CPT, ICD-10, and ICD-9 CPT-4

• Certification in CPC-AS and CPCS is highly desirable

• Familiarity with EHR SYSTEM and EMR (Electronic Medical Records) is required

• Demonstrable experience in Outpatient Coding and Ambulatory

• Knowledge of Ambulatory Payment Classification and Epic Ambulatory is a plus

• Strong grasp of Medical Terminology

• Commitment to uphold Coding Compliance standards at all times. TalentMatch®

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