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Coding Review Specialist
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Jersey City, NJ Jersey City, New Jersey |
About this job
About the Opportunity
A growing healthcare company located in Jersey City, NJ is seeking a dedicated and analytical professional for a promising opportunity on their staff as a Coding Review Specialist. Under the oversight of the Coding Review Manager and Director of Physician Revenue Cycle, the Coding Review Specialist reviews medical records for documentation requirements pursuant to the Federal and State rules, regulation and guidelines. Apply today!
Company DescriptionHealthcare Company
Job DescriptionThe Coding Review Specialist:
- Analyses and interprets patient medical records and assigns and sequences appropriate diagnostic/procedure billing codes in compliance with documentation and of third party payer requirements
- Assists with the performance of clinical reviews with knowledge of body systems, anatomy and physiology
- Reviews medical policies to indicate a clinical bases for medical necessity
- Dissects and deduces patient medical records to identify and determine amount and nature of billable services
- Interacts with providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation
- Generates reports from eCW for assigned projects
- Certification in ICD-10CM and CPT Coding (CPC, CCS-P) from an accredited agency
- 5+ years of prior experience in a hospital and/or medical setting
- E&M and procedural coding experience
- Working knowledge of governmental (CMS) and third party regulations
- High degree of analytical ability of medical charge interpretation
- Experience in coding and chart analyses for the abstraction of medical records documentation
- Knowledge of physicians billing
- Experience navigating insurance company websites
- Basic knowledge of Microsoft Excel, Word and Outlook
- Detail oriented with solid problem solving and investigative skills
- Ability to work and thrive under pressure while handling multiple priorities and meet deadlines