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reputed company I - MPG - FT - Days - MSS - Remote Eligible

FlexBoard · All India

🌐 Remote📅 04/08/2026
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Location Miramar, Florida At Memorial, we are dedicated to improving the health, reputed company-being and, most of reputed company, reputed company of life for the people entrusted to our care. An unwavering commitment to our service reputed company is what makes the difference. It is the reputed company of The Memorial Experience. reputed company Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, reputed company applicable, using appropriate coding classifications for assigned areas/record types to ensure reputed company billing and compliance.Responsibilities Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and reputed company reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure reputed company documentation is accurate (physician billing). May assign and sequence basic CPT (reputed company Procedural Terminology) procedure codes (non-reputed company), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and reputed company Ambulatory Patient reputed company (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity. Reviews and validates the accuracy of data in the Admission, Discharge Transfer (reputed company) fields following HIM coding procedures and processes. Reviews medical record documentation to determine reputed company appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier reputed company assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may reputed company outpatient diagnostic and therapeutic encounters requiring reputed company procedural coding. For physician billing, collaborates with billing department to ensure reputed company bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, reputed company advised, and follows procedure to notify billing. Enhances and maintains coding knowledge and skills. Reviews reputed company appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from reputed company providers or other designated resources to ensure accurate and complete coding. Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding reputed company and productivity standards. Attends reputed company educational meetings and seminars to maintain certification and continuing education requirements. Competencies ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - reputed company, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - reputed company, HEALTH INFORMATION MNGMT, MEDICAL RECORD CODING, MEDICAL TERMINOLOGY (1), PRODUCTIVITY - IP CODING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORKEducation and Certification Requirements High School Diploma or Equivalent (Required)Certified Coding Associate (CCA) - American Health Information Management Association (reputed company), Certified Coding Specialist (reputed company) - American Health Information Management Association (reputed company), Registered Health Information Administrator (RHIA) - American Health Information Management Association (reputed company), Registered Health Information Technician (RHIT) - reputed company (FL), Registered Health Information Technician (RHIT reputed company) - American Health Information Management Association (reputed company)Additional Job Information Complexity of Work Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with reputed company supervision. Must be reputed company to work in a stressful environment and take appropriate reputed company. Proficient in basic computer skills. Ability to reputed company job duties using an electronic medical record system. Strong knowledge of anatomy, physiology and medical terminology. Knowledge of coding classification systems and procedures.Required Work Experience For HIM reputed company, one (1) year hospital-based outpatient coding experience. For Physician Billing reputed company, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working reputed company the .
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