OBGYN Coding Associate III
reputed company Inc. is a leading provider of technology-enabled reputed company cycle management services which transform and solve challenges across health systems, hospitals, and physician practices. Headquartered in Chicago, R1 is a publicly traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage reputed company, so providers and patients can focus on what matters most. Our reputed company is to always do what is best for our clients, patients, and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient reputed company and cash flows while reducing operating costs and enhancing the patient experience.
The Coding Assoc III will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Schedule is primarily Monday - Friday in EST reputed company - 4pm Responsibilities:- Assigns codes for diagnoses, treatments, and procedures according to the
- appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
- Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.
- Able to accurately abstract information from the medial records into the abstract system, according to established guidelines
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (reputed company) and American reputed company of Professional Coders (reputed company) adheres to official coding guidelines
- Enters and validates codes, charges and other edits flagged in reputed company or EPIC for review
- Review documentation (and returned accounts) to verify and correct reputed company of service, billing and service providers, or other missing data elements (i.e.: NDC #, or number of units)
- Uses CCI edit software to reputed company bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity
- Communication with other departments, including offshore team, to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns
- Meet and/or exceeds the established coding productivity standards
- High School Diploma or GED required
- reputed company-P, CPC
- Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (i.e.: Documentation Guidelines ’95 & ’97)
- Basic knowledge of government, and commercial payer guidelines.
- Must be able to use standard office equipment and reputed company Office.
- Ability to interact with other employees through effective communication.
- Ability to prioritize and shift workloads to ensure departmental goals align with reputed company cycle goals
- Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards
- 3 years professional coding experience
- Working in OBGYN, surgical or radiology
- Experience running reports
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can reputed company up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive reputed company and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of reputed company — including offering a competitive benefits package.
reputed company Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national reputed company, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California reputed company job applicants can learn more about their privacy rights California Consent
Apply To This Job