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Coder I- Coding and Reimbursement, FT, 8:00am - 5:00 pm, Monday - Friday

Company: North Mississippi Medical Center
Location: Tupelo
Posted on: January 15, 2022

Job Description:

Coding/Reimbursement:

  • Reviews information from the medical record and accurately assigns diagnostic and procedural codes using ICD-10 CM and/or CPT-4 coding system
    • Ensures accurate billing and statistical information
    • Provides data for Clinical Efficiency
    • Assigns accurate APC (Ambulatory Payment Classification) to all outpatient visits
      • Ensures appropriate reimbursement for services
      • Validates all outpatient chargesRegulatory/Compliance:
        • Abides by NMHS Coding Compliance Policy, ICD-10 CM and CPT Coding Guidelines, and Standards of Ethical Coding
        • Complies with HIPAA (Health Information Portability and Accountability Act)
          • Verifies proper authorization prior to release medical information
          • Processes request for release of medical informationReporting/Recordkeeping:
            • Reviews non-covered, modifier and claim disposition reports
              • Adjust/Correct incorrect data and inform Business Office of adjustments/corrections
              • Maintains records of released medical information in compliance with Departmental, Regulatory, and Legal Policies/Procedures/Guidelines/criteria
              • Reviews outpatient medical records to ensure compliance with JCAHO Standards
              • Ensures quality documentation of medical recordsClerical:
                • Files various reports, records, documents and other correspondence in a manner that is easily retrievable Education:
                  • Attends, demonstrates and participates in required in-services, quarterly meetings, performance improvement activities, and other educational programsCustomer Service:
                    • Assist ancillary departments with determining accurate CPT Codes
                    • Assists Business Services and patients with inquiries regarding the coding of billsRequirements:
                      • High School Diploma required; Associates Degree in Health Information; preferred
                      • Certified as a Coding Specialist required (must be obtained within 1 year of starting position)
                      • Minimum of 1 year of coding experience with ICD-10 and CPT-4 schemes; preferred
                      • Knowledge of Ambulatory Payment Classification (APC) reimbursement system; required
                      • Knowledge of medical terminology; required
                      • Successful completion of a basic anatomy course; required
                      • Ability to operate a computer and software programs; required
                      • Good verbal and written communication skills; required
                      • Must have ability to work with co-workers, management, and physicians; required
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Keywords: North Mississippi Medical Center, Oxford , Coder I- Coding and Reimbursement, FT, 8:00am - 5:00 pm, Monday - Friday, Other , Tupelo, Mississippi

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