Perform chart audits for multiple providers using expertise in ICD-10, CPT and HCPCS coding, Medicare guidelines and RAF and HCC identification.
Education: CPC certification is required. The coder is expected to enroll in continuing education courses to maintain certification.
Work Experience: Two years of coding experience using ICD-10 or equivalency. Three years of experience in one of the following areas, preferably within primary care relating to physician practice charge entry, coding or accounts receivable.
Preferred Experience/Qualifications: RAF or HCC experience preferred.
Demonstrates thorough knowledge of ACP policy and procedure regarding point-of-service (charge entry, cash reconciliation, completion of forms, timely submittals). Demonstrates high level of organizational skills in prioritizing tasks, tracking outstanding encounters and charge-related issues. Maintains current coding and reimbursement resource materials (CPT, ICD-10, HCPCS), Medicare guidelines, RAF, HCC and other Value Based principles) to make them readily accessible. Disseminates new information and policy changes to staff and physicians. Ensures integrity, confidentiality and security of records.
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