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Medical Coder

Company: Aston Carter
Location: Hyattsville
Posted on: September 24, 2022

Job Description:

Description:The Professional Services Coder II under direct supervision is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation for hospital services. Working from the appropriate documentation in the medical record, assigns codes and modifiers with ICD-10-CM, CPT and HCPCS Level II codes when appropriate. All work is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-10-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and organizational and institutional coding guidelines. A Professional Services Coder II assigns codes for professional services rendered in the following settings: --- Hospital, Emergency Department (ED), --- Hospital Observation (HOPS), --- Hospital Ambulatory (HAS), --- Hospital Outpatient (HOV) and Medical Office. Major Responsibilities (In order of importance, list primary responsibilities which occupies more than 5% of the incumbent's time. Describe these in terms of job scope and complexity. Estimate the percentage of time each responsibility takes; these should add up to 100 %.) Estimated % of Time (Range) 1. Review Medical Records to resolve Ingenix and HealthConnect Coding Edits --- Under supervision, identify and resolve coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with ICD-10-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as Regional and Local policies --- Correct data as appropriate 15% 2. Review Medical Records to identify diagnoses/procedures --- Under supervision, codes all diagnostic and operative information from the medical record using ICD-10-CM, CPT and HCPCS coding classification systems --- Verifies and abstracts all medical data from the record to assign appropriate codes for the following settings: o Inpatient Hospital (IP), Hospital Emergency (ED), Hospital Observation (HOPS), Hospital Ambulatory (HAS), Hospital Outpatient (HOV) and Medial Office o Corrects data as appropriate 40% 3. Work Organization and Prioritization --- --- Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements. 15% 4. Completeness of Medical Record Data --- Under general supervision, interacts with clinical contacts to clarify and promote accurate documentation of patient diagnostic and procedural information --- Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted or encounter data corrected, prior to submitting the data --- Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the Professional Service Coder II --- --- Provides feedback to monitor service provider and line of business compliance with regulatory requirements 10% 5. Confidentiality/Security of Systems --- Maintains and complies with policies and procedures for confidentiality of all patient records. Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained. --- Consistently supports the precepts of Corporate Compliance and the Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures. 10% 6. Other Duties --- Answers the telephone promptly and identifies themselves and the department --- Acts as a resource person to other departments regarding coding questions and issues --- Other duties as assigned by Lead Coders and Managers 10% Total 100% Requirements (Indicate the minimum to proficient number of years & specific type of experience and knowledge required for the job; specify whether functional knowledge is acquired through formal education and/or through work experience. List specific required skills, abilities/competencies, and job related certification/license.) Work Experience Minimum of two, of the last three years, continuous professional coding/abstracting experience and passing score of 105% on the Professional Services Coding teat for a Professional Services Coder II position.Skills:Medical coding, Coding, Cpc, Icd-10, Cpt, Inpatient coding, Outpatient coder, ED, Ccs, Medical, Health care, Audit, Cpt codingTop Skills Details:Medical coding,Coding,CpcAdditional Skills & Qualifications:Functional/Technical Knowledge & Skills --- Must be able to meet production and quality standards established for a Professional Services Coder II --- Demonstrated knowledge of Anatomy and Physiology, medical terminology, disease processes. --- Basic knowledge of reimbursement methodologies and conventions --- Knowledge of rules and guidelines for current coding classifications --- Demonstrated ability to understand the clinical contents of a health record --- Demonstrated ability to communicate with physicians in order to clarify diagnoses and procedures coding and documentation requirements, including proper sequencing --- Must maintain current coding credential and perform associated Continuing Education Units Industry Knowledge --- Working knowledge of hospital and/or physician clinic based revenue cycle --- Working knowledge of professional services coding and billing in a multi-specialty environment --- Working knowledge of government and other payer coding, billing and collection rules and regulations. Education/Training --- Completion of classes in medical terminology, anatomy and physiology, ICD-10-CM, CPT and HCPCS coding conventions, and disease process from and accredited program is required. --- Must have High School diploma or GED. --- License/Certification o Current certification as a Certified Professional Coder (CPC) or Certified Coding Specialist for Professional Services (CCS-P)Experience Level:Intermediate Level About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email ( for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aston Carter, Silver Spring , Medical Coder, Healthcare , Hyattsville, Maryland

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