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Job Requirements of Certified Coder - OB/GYN:
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Employment Type:
Full-Time
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Location:
Baltimore, MD (Onsite)
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Certified Coder - OB/GYN
Duties will include: selecting the correct diagnosis and procedure codes based on documentation and payer specificity requirements; communicating with physicians about coding questions and issues; using modifiers to assure clean claims; maintaining current knowledge on coding and billing policies; and other duties as assigned.
Requirements:
Qualified applicants will possess: H.S. diploma or equivalent (GED); Certified Professional Coder (CPC or CCS-P) certification required; previous experience in professional coding and/or auditing; PC proficiency; knowledge of payers in specialty; extensive knowledge of CPT and ICD-9 coding; knowledge of government regulations as they relate to teaching physician documentation; and knowledge of medical terminology, anatomy, and physiology is required. CPC-A license is encouraged to apply.
Essential Job Functions:
- Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines.
- Ensures that teaching physician documentation and billing requirements are met and are clearly reflected.
- Reviews provider coding and provides training and feedback on coding questions and issues.
- Assists billing and collections staff with denials and charge correction requests as needed.
- Resolves coding TES edits.
- Continually refreshes and applies knowledge of government regulations as they relate to coding and billing.
- Performs internal pre-pay audits based on compliance guidelines when required.
- Communicates with physicians about coding questions and issues.
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Recommended Skills
- Anatomy
- Auditing
- Billing
- Certified Professional Coder
- Claim Processing
- Communication
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Job ID: lmvamkd
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