Coder II- Retina Clinic, FT, Monday - Friday
Company: North Mississippi Health Services
Location: Tupelo
Posted on: March 18, 2023
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Job Description:
Coding: Assign diagnostic and procedural codes using ICD-10-CM
and CPT coding systems for inpatient, outpatient, and ambulatory
surgery records in order to ensure accurate billing and statistical
information by reviewing provider documentation. Apply coding
knowledge of ICD-10-CM and CPT to denial review to ensure accurate
coding, compliance and reimbursement. Research and apply
coding/billing guidelines for various carriers. Knowledge of
Hierarchical Condition Category coding to ensure accurate diagnosis
coding and future reimbursement. Reimbursement: Apply local Medical
Review Policies regarding medical necessity to all insurance
carrier's procedures to ensure appropriate reimbursement for the
provided service. Follow up with insurance carriers on outstanding
appeals and/or incorrect allowable/reimbursement. Identify
reimbursement opportunities through documentation review and
denials for NMMCI and MSO\\=s. Denials: Research causes for
insurance denials by reviewing provider documentation, medical
policy, and coding guidelines. Determine if the documentation is
compliant with guidelines and supports all services billed. Decide
if the denial can be sent for appeal, the provider be held
accountable, or if patient is responsible. Corrections are made to
the patient\\=s account and with insurance carrier as needed.
Compliance: To abide by NMHS Coding Compliance Policy, ICD-10-CM
and CPT Coding Guidelines and Standards of Ethical Coding.
Determine if provider\\=s documentation meets coding guidelines and
involve the Coding Specialist to provide education as needed. .
Customer Service: Effectively interacts and assist NMMCI and MSO
clinic managers, charge entry personnel, and physicians with
determining appropriate CPT codes for their charges, coding
guidelines, medical policies and education to gain trust,
commitments, and a strong work relationship. Job Knowledge:
Certified Coding Specialist (CCS), RHIT (Associate Degree) or
Certified Professional Coder (CPC) required with at least one year
previous outpatient coding experience with and CPT coding schemes
including evaluation and management codes and experience with
insurance carriers. Thorough knowledge of medical terminology,
previously completed course in basic anatomy and the ability to
read and interpret medical record documentation. Ability to operate
PC.At North Mississippi Health Services, our mission is to
"continuously improve the health of the people of our region." Our
vision is to "provide the best patient and family-centered care and
health services in America." We believe that fulfilling our mission
and vision calls us to embrace the best people that form incredible
connections to our patients and families. We take pride in
celebrating everything that makes you uniquely you - your talents,
your perspectives, and your passions. At North Mississippi Health
Services, we believe in connecting your passion with a purpose.
When you are part of our team, you know what connected feels like.
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Keywords: North Mississippi Health Services, Oxford , Coder II- Retina Clinic, FT, Monday - Friday, Healthcare , Tupelo, Mississippi
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