Perform an in depth review of hospital and physician medical records. Perform a detailed review of medical records to assign ICD-10-CM code(s) that map to the HCC or RxHCC payment structure. Document captured codes in database and/or MS Excel. Qualifications for this position include:
Review appeals for denied services related to current relevant medical experience or knowledge. Discuss with referring physicians to clarify clinical information and to explain review outcome decisions. Qualifications Include: M. D. or D. O. with a current, active, U. S. state medical license.
Articulating and sending appropriate query requests to physicians. Responsible for QI initiatives, audits and department query incitation. Qualifications Include: RHIA, RHIT, CCS, CIC, or CCA with ability to acquire CCS Certification within 2 years of date of hire.
A consulting company is filling a position for a Remote Physician Advisor. Core Responsibilities Include: Consulting and secondary case review. Performing other duties as assigned. Qualifications for this position include:
A healthcare company has a current position open for a Telecommuting Physician Services Coding Specialist II. Individual must be able to fulfill the following responsibilities: Assigning ICD-9, CPT-4 & HCPC codes from documentation. Problem-solving insurance rejections and denial issues.
A non-profit healthcare organization is filling a position for a Telecommuting Physician Documentation Coding Auditor in Tyler. Individual must be able to fulfill the following responsibilities: Complete scheduled audits of assigned providers at designated intervals.
A healthcare company is in need of a Remote Physician Advisor. Core Responsibilities of this position include: Completing clinical reviews of internal review cases for medical necessity, treatment appropriateness or administrative compliance. Performing any other assigned tasks.
Doctor of Medicine or Osteopathy. Board certified in Psychiatry. Current license to practice as a physician without restrictions. Knowledge of post-acute care planning such as home care, discharge planning, etc. Computer and typing proficiency, data analysis and strong organizational skills.
Qualifications for this position include: High School Diploma or GED. 2-3 years medical coding experience required in a physician setting. Formal coding education completed at an accredited certificate program – 1 year minimum. Basic computer, word processing, and 10-key skills.
Recognizing incomplete, conflicting, or ambiguous documentation and initiate physician queries. Maintaining 95% DRG and overall accuracy rate. Applicants must meet the following qualifications: 2+ years working as a Medical Coder.