United States onlyDuties and Responsibilities:
Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
Submit necessary provider queries to resolve documentation discrepancies.
Perform quality assessment of records, including verification of medical record documentation.
Review appropriate charges and make changes or recommendations based on the documentation.
Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.
Knowledge, Skills, and Abilities:
Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment.
Must be able to pass a coding assessment.
Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
Ability to multi-task and have excellent communication skills.
Must meet and maintain a 95% quality accuracy rate and productivity standards.
Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
Must have experience working in a remote environment.
