Job Description

　　Performs periodic medical record reviews to ensure physician documentation supports complete and accurate coding. Reconciles medical record documentation, coding, claims and reimbursement data to ensure appropriate billing and reimbursement. Provides feedback to physicians and office staff on findings and makes recommendations to coding management for improvement.

　　Job Responsibility

　　Collaborates with coding and compliance staff in the performance of periodic physician medical record reviews.

　　Reconciles medial record documentation, coding, claims, and reimbursement data.

　　Ensures appropriate billing and reimbursement.

　　Collaborates with practice revenue managers to ensure correlation of information on superbills with rendered clinical services.

　　Reviews codes diagnoses and surgical procedures in accordance with established coding and abstracting guidelines as a part of physician medial records review.

　　Makes recommendations for changes and improvements.

　　Utilizes IDX and related modules to obtain, analyze, and interpret coding, denial and other reimbursement data to support compliance and practice management activities.

　　Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

　　Job Qualification

　　High School Diploma or equivalent required.

　　Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications, as needed.

　　3 - 5 years of technical experience, required.

　　*Additional Salary Detail

　　The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).