MG Coder

Summary:

SUMMARY:

Assign ICD CPT and HCPCS codes to all relevant physician claims. Ensure that E&M levels are accurate and documentation supports appropriate level assigned and medical necessity of service. Ensure all demographic and insurance data is accurate based upon information contained within the documentation.

Responsibilities:

KEY RESPONSIBILITIES:

Communicate with providers and practices to ensure all encounter forms are current

Disseminate information regarding new codes and/or coding policies either by payer or through regulations.

Create and maintain department processes and controls according to Professional Coding Standards CMS Standards HIPAA OIG and the State of Massachusetts as well as national payor coding guidelines as they pertain to professional coding and reimbursement.

Educate providers and clinical staff through review and education of documentation.

Champion coding compliance through Revenue Cycle team utilization of recognized professional references and adherence to established coding convention and regulation.

Participate in departmental and physician network performance improvement initiatives.

Safeguards medical records and preserves the confidentiality of personal health information through the observance of physician network policies pertinent to the release of medical record information record retention and HIPAA privacy and security.

Other duties as assigned.

Other information:

REQUIRED QUALIFICATIONS:

Current certification as a CPC or CCS-P.

Specialty coding and auditing.

Computer literacy of medical information system records management software encoders.
Demonstrated coding (ICD-9-CM and CPT) expertise.

Understanding of third-party reimbursement rules and regulations.

Experience with encoder software.

Ability to work independently with minimal supervision.

Professional interpersonal and organizational skills.

Attentive to detail and organization.

EDUCATION:

Associate degree in Health Information Technology or related business degree or equivalent amount of education and experience.

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Hawthorn Medical Associates-North Dartmouth-535 Faunce Corner Rd. USA:MA:North Dartmouth

Work Type: Full Time

Shift: Shift 1

Union: Non-Union