Manager Professional Coding

📁
Revenue Cycle
💼
Cottage Health
📅
2000002T Requisition #

Evaluates medical records, completes clinical data abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for reporting and billing of physician and allied health services.

 

MAJOR ACCOUNTABILITES


Verifies, adds or corrects diagnosis and procedure codes and other claims data that is supported by the medical record documentation and ensures complete and accurate coding data is reported on all professional claims in accordance with ICD-10-CM and CPT classification systems and outpatient/ professional service coding and billing rules.


Reviews and makes any appropriate correction to address edits and other variances related to coding and coder reported data in a timely manner to ensure accurate and timely billing of claims.


Participates in quality improvement activities by identifying specific cases and pertinent data as requested. 


Communicates with providers and the leadership team concerning incomplete documentation and clarification of diagnoses/procedures and charges.

 

QUALIFICATIONS


Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-10-CM and CPT coding classifications; 2) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process 3) medical record keeping principles and practices.


Certified Professional Coder (CPC) or Certified Professional Coder-Apprentice (CPC-A) certification from AAPC


6 months of coding experience in a professional clinic environment

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