MercyOne · 10 hours ago
Auditor Coding Specialist Remote
MercyOne is a healthcare organization committed to compassionate, person-centered care. They are seeking an Auditor Coding Specialist who will be responsible for coding and abstracting patient records for professional billing, reviewing medical records for accuracy, and assisting with coding inquiries.
Health CareHealth DiagnosticsHospitalMedicalNon ProfitPersonal HealthPrimary and Urgent Care
Responsibilities
Responsible for coding and abstracting patients’ records for professional billing
Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes
Interacts and assists with coding requests and questions from billers
Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing
Makes process improvement recommendations to management as identified, specifically related to registration and charge posting
Performs in compliance with federal, state, insurance industry regulations
Follows established hospital policies concerning corporate compliance
Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities
Qualification
Required
Coding Certification required
Minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required
High school diploma or GED required
Knowledge of anatomy and physiology and medical terminology required
Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire required
Working knowledge of computer information systems required
Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image required
Must be a self-starter and able to work independently and make appropriate decisions within hospital and departmental guidelines with little assistance from Manager required
Preferred
One to two years post high school education preferred
Knowledge of physician EM coding desired
Company
MercyOne
MercyOne is a non-profit organization that provides healthcare services to communities.
Funding
Current Stage
Late StageTotal Funding
unknown2022-04-19Acquired
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