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MediRevv Certified Professional Coder - General Surgery in Anaheim, California

Title: Certified Professional Coder Department: Coding Wage Category: Hourly, Non-Exempt Reports to: Supervisor, Coding Services Salary range: Commensurate with experience and geographical location

**Demonstrated experience in GENERAL SURGERY coding is required for this role

Job Statement

Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement.

Job Duties

An effective Certified Professional Coder will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:

  • Reviews and analyzes patient records according to current compliance policies and providers documents are compliant.

  • Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers

  • Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.

  • Monitors regulatory and payer changes as they apply to diagnostic and procedure coding

  • Researches and resolves coding related system edits, payer rejections and insurance denials.

  • Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.

  • Participates in developing, implementing, and reviewing:

  • Programs for coding compliance monitoring

  • Criteria for benchmark comparisons

  • Organization’s policies and procedures

  • Providers clinical documentation improvement

  • Reports and applications supporting HCC/Risk Adjustment program

  • Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material.

  • Other innovative and progressive duties as assigned

    Job Requirements – Knowledge, Skills and Abilities

    A successful candidate must have proficient knowledge/capabilities in the following areas:

  • Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC.

  • High school diploma or equivalent required.

  • 1-3+ years coding experience required, and outpatient physician and/or multi-specialty coding experience, preferred.

  • Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.

  • Possess strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization.

  • Ability to work under general supervision

  • Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.

  • Possess excellent telephone etiquette, presentation skills and problem resolution skills

  • Must have dependable transportation and valid driver’s license.

  • Computer skills including Microsoft Office Suite

  • Must be highly organized and detail-oriented

  • Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information.

  • Cooperates fully in all risk management activities and investigations for QM purposes.

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