Job Description
Job Description
We are seeking a Medical Coder in Waukesha, Wisconsin. This role will involve determining appropriate assignment of various codes for services provided in different healthcare settings, evaluating medical records, conducting quality assurance audits, and providing training to new providers. This position is a short term contract employment opportunity.
Responsibilities:
• Accurately assign CPT, DSM-5, and ICD codes for services provided by physicians, therapists, and facilities in outpatient and inpatient settings
• Evaluate medical records for consistency and adequacy to ensure medical necessity
• Update codes in billing software in a timely manner to maintain prompt billing compliance
• Ensure all patient visits are coded in accordance with relevant guidelines
• Conduct chart audits for assigned providers and provide documentation and audit feedback
• Verify insurance to ensure accuracy of coding in electronic records
• Make necessary corrections to codes in billing software to maintain prompt billing compliance
• Conduct quality assurance audits and incorporate findings into coding processes
• Identify trends, recommend and implement solutions for inaccuracies with coding
• Communicate with and assist in coding education of providers and support staff
• Provide orientation and training to new providers on coding and documentation guidelines
• Serve as a resource to providers and support staff on coding issues
• Perform data reporting and statistical tracking
• Maintain a resource center regarding coding education for providers• Possess a minimum of one year experience in medical coding.
• Proficient in using 3M and 3m Coding software.
• Familiarity with Allscripts software.
• Experience with Armed Forces Health Longitudinal Technology Application (AHLTA).
• Knowledge of Cerner Technologies.
• Ability to carry out auditing tasks.
• Skilled in executing billing functions.
• Capable of working with charts and graphs.
• Experienced in claim administration.
• Understanding of clinical trial operations.
• Proficient in using CPT Codes.
• Familiarity with Dsm-Iv.
• Knowledge of Centers for Medicare & Medicaid Services (CMS) regulations and guidelines.
• Proficient in using ICD Codes.