Jobs for People with MS: National MS Society

Description We are seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our healthcare team. The CPC will play a vital role in accurately assigning medical codes to diagnoses, procedures, and services provided to patients in compliance with coding guidelines and regulations. The ideal candidate will possess strong coding knowledge, excellent analytical skills, and a commitment to maintaining high coding accuracy and integrity.

Responsibilities:

Medical Coding:

Assign accurate CPT, ICD-10-CM, and HCPCS Level II codes to medical diagnoses, procedures, and services based on documentation provided by healthcare providers.

Review medical records and encounter forms to ensure completeness, accuracy, and compliance with coding guidelines and regulations.

Resolve discrepancies or documentation issues through appropriate channels, seeking clarification from healthcare providers when necessary.

Claims Review and Submission:

Review coded medical records to ensure that claims are accurately coded and supported by appropriate documentation.

Prepare and submit clean claims to insurance companies or government payers in accordance with established billing and coding procedures.

Monitor claim status and follow up on unpaid or denied claims, identifying and resolving coding-related issues to facilitate timely reimbursement.

Coding Compliance:

Stay abreast of updates and changes to coding guidelines, regulations, and reimbursement policies, ensuring compliance with industry standards and best practices.

Conduct regular audits of coded medical records to assess coding accuracy, completeness, and compliance with coding standards and documentation requirements.

Provide coding education and training to healthcare providers, coding staff, and other stakeholders to promote coding proficiency and compliance.

Documentation Improvement:

Collaborate with healthcare providers and clinical documentation improvement specialists to address coding-related documentation deficiencies and ensure accurate code assignment.

Identify opportunities for documentation improvement to capture the full scope and complexity of patient care, leading to more accurate code assignment and reimbursement.

Quality Assurance:

Participate in quality assurance activities, including coding audits, performance reviews, and quality improvement initiatives, to uphold coding accuracy and integrity.

Implement corrective actions and process improvements based on audit findings and performance metrics to enhance coding quality and efficiency.

Requirements:

Certification: Certified Professional Coder (CPC) certification from AAPC or an equivalent coding certification is required.

Education: High school diploma or equivalent is required. Additional education in medical coding, health information management, or a related field is preferred.

Experience: Minimum of 2-3 years of experience in medical coding, with proficiency in CPT, ICD-10-CM, and HCPCS Level II coding systems. Experience in a healthcare setting, such as a hospital, physician practice, or medical billing company, is preferred.

Knowledge: Thorough understanding of medical terminology, anatomy, physiology, and disease processes. Familiarity with coding guidelines, regulations, and reimbursement methodologies, including CMS and third-party payer guidelines.

Analytical Skills: Strong analytical and critical thinking skills, with the ability to interpret complex medical documentation and apply coding principles accurately. Requirements • Must have proficiency in using healthcare technologies such as 3M, Allscripts, Cerner Technologies, and EHR SYSTEM

• Knowledge of Encoders and Billing Functions is required

• Ability to utilize Charts and Graphs effectively in the medical context

• Experience in Claim Administration is necessary

• Must have a thorough understanding of CPT Codes

• Demonstrated ability to Diagnose Problems within a medical coding context

• Experience in the healthcare, hospitals, and social assistance industry is preferred

• Role requires a medical coder with strong analytical and problem-solving skills

• Excellent communication and interpersonal skills are essential

• An ability to work independently and as part of a team is required.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .