ICD-10 Proficiency Certification requiredĬertified Medical Coder with either CPC, CCS-P Provide coding support to Central Billing Office as requested Monitor Coding changes to ensure that most current information is available and/or as requested by medical leadership or CBO management Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. Perform compliance audits for designated providers/centers consistent with established audit protocolĬoordinate with clinical leadership in development of provider training plans and for active support in the training process
Provide real time support and coordination with Primary Care Providers and MRA Coders as it relates to coding for HEDIS and STARS Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustmentĭeliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
