Job Description

\rJob Description \r

Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement.

\r

Job Responsibility

\r

\r

Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews.
Reconciles medial record documentation, coding, claims, and reimbursement data.
Ensures appropriate billing and reimbursement.
Collaborates with practice revenue managers to ensure correlation of information on superbills with rendered clinical services.
Reviews codes diagnoses and surgical procedures in accordance with established coding and abstracting guidelines as a part of physician medial records review.
Makes recommendations for changes and improvements.
Utilizes IDX and related modules to obtain, analyze, and interpret coding, denial and other reimbursement data to support compliance and practice management activities.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

\r

Job Qualification

\r

\r

High School Diploma or equivalent required.
Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications, as needed.
3 - 5 years of technical experience, required.