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Coding Compliance Specialist
Core Health LLC. Extract clinical information from electronic medical record systems .
About the role
Key responsibilities & impact- Extract clinical information from electronic medical record systems
- Analyze medical documentation and ensure proper CPT billing selection using CMS coding guidelines
- Review medical records for inconsistent documentation practices and offer remediation solutions
- Provide ongoing outreach and education to new and existing coders on Emergency Medicine and Hospital Medicine coding and documentation requirements
- Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services
- Validate code accuracy and adherence to coding guidelines and regulations
- Maintain current knowledge of coding standards, regulations, and payer policies
- Meet quality and productivity goals set by the Coding Manager
- Ensure compliance with federal, state, and payer-specific coding requirements
- Review coding discrepancies and provide feedback to the coding leadership team
- Conduct audits of coded records
- Recommend coding improvements and best practices
- Review new business medical records for documentation opportunities and templating education
- Use coding software and EHR systems
- Stay informed about coding system and software updates
- Serve as an expert resource for coding and documentation requirements
- Perform other related duties as assigned
Requirements
What you’ll need- Bachelor’s degree or equivalent is required
- Preferred: RHIA, CDI, CPC, CCS, CCS-P
- 1-2 years’ experience in Hospital or Physician practice environment desired
- Experience with Evaluation & Management coding
- Emergency medicine/hospital medicine background preferred
- EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required
- Chart Auditing/Optimization experience preferred
- Reliable access to internet
- Knowledge and understanding of medical coding and billing systems and regulatory requirements
- Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation
- Strong analytical skills
- Excellent communication and interpersonal skills
- Ability to work independently and solve problems
- Ability to learn proprietary software applications
- Ability to collaborate with internal and external professionals across geographic locations
- Ability to manage competing priorities and work in a fast-paced environment
Benefits
Comp & perks- Fully remote work arrangement
- Travel for in-person meetings and events
- Equal opportunity employer
- ADA-compliant employment practices