Brief summary for Coding Specialist - Continuing Care Centers
Identify and analyze new codes & code changes to ensure accuracy within LTC. Codes medical procedures. Research and resolve complex claims and reimbursement issues. Works extensively with electronic medical record (Matrix) and some paper based medical records. Performs auditing duties relating to provider practices to enhance reimbursement, comply with regulations and promote practice efficiency and effectiveness. Assists with general medical records duties. RHIA, RHIT, and/or CCS required. Professional certified coder designation from an accredited institution required. LPN with relevant coding experience may be considered. Minimum of two years’ experience as a certified coder, in a health delivery setting, health insurance or Medicare and/or Medicaid required. Three to five years’ experience in claim operations preferred. Procedure (CPT) and diagnosis (ICD-10) coding experience preferred. Previous experience in code editing software preferred. PRN hours