. If you are
looking for an exciting place to work, please take a look at the list of qualifications
below.
Responsibilities for medical coder
* Obtain prior authorizations from insurance companies in a timely manner for
all typesof treatments and procedures
* Monitor coding work queues for simple visit coding including rehabilitation
services
Enter and/or review charges for provider services
Query physicians when code assignments are not straightforward or
documentation in the record is inadequate, ambiguous, or unclear for coding
purposes
* Bring identified concerns to Supervisor or Department Manager for
resolution
* Abide by the standards of Ethical Coding as set forth by the American Health
Information Management Association and adheres to official coding
guidelines
* Code information within the Inpatient Unit and Out patient
* Research coding issues
Communicate to supervisor any discrepancies, concerns, or questions
. Code charts with highest attention to detail to avoid mistakes
Qualifications for medical coder
.Reviewing medical procedures as documented by doctors.Non surgeons,
Alert physicians, technicians and physician assistants of any discrepancies in
documentation
* Consult with physicians concerning difficult to code cases or cases where the
diagnosis is vague in order to be able to assign the correct coding
nomenclature
Obtain insurance authorizations for additional services
tued and billed
* Run report to ensure that all charges were captured and billed
* Analyze payment report to ensure that reimbursement is according to
contractual agreement and to identify short payments.
Translate written policies interpretation into CPT, HCPC, ICD-9/ICD-10 codes for input into systems
Medical Coder Qualifications.
AMC, CPC, AAPC, HCS-D,CMS,CRC
Education for medical coder
Bachelor's Degree in Medical, Healthcare, Health Information Management, Associates, Health, Education, Health Information Technology, Technical, Life Science, Nursing Program
Skills for Medical Coder
Medical terminology
Complies with coding guidelines and reimbursement reporting requirements
Billing
Government regulations
Protocols and third-party requirements regarding coding
CPT/HCPCS and coding guidelines
Anatomy and physiology
Reimbursement systems
Revenue cycle management
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