Job Description

Job Description

Job Description

Medical Coding Specialist

Bedford, MA (onsite)

Purpose:
To ensure accurate coding for diagnosis documentation and services provided and evaluate medical records determined as unable-to-code by production coders.

• Assign ICD-10 diagnosis and CPT procedure codes while upholding accuracy standards/rationales regarding E/M leveling, diagnosis sequencing and procedure selection
• Identify error trends in coding and elevate to applicable production management teams
• Perform accuracy checks on UAC (Unable to Code) charts to identify non-deficient accounts being held erroneously
• Execute follow-up checks in identified problem areas to ensure coder improvement
• Manage client scrubbers to address CCI and medical necessity edits
• Perform retrospective audits of production team-owned scrubber edit resolutions
• Track functionality of coding software as meeting the needs of general coding principles and client specifications
• Design client-specific reference materials for procedure notes, tracking codes, and provider assignments
• Monitor denials and client inquiries to identify coding issues and address/elevate where applicable
• Establish familiarity with components of all chart constructs and identify deficiencies affecting coding
• Assemble diagnosis category grouping lists to assist in interdepartmental data analysis
• Maintain familiarity with annual industry changes in coding protocol

Qualifications:
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

• Prior medical coding experience or certification required (CPC, CCS, CCA, etc.)
• 1-2 years related experience preferred (including working knowledge of ED billing and prior experience with ICD and CPT coding)
• Proficiency with Microsoft 365

Specific Job Knowledge, Skill and Ability:

• Intervention radiology coding, multi-specialty background experience a plus
• Ability to access and accurately enter information using word processing and internet software including Laser Fiche
• Ability to work with meticulous attention to detail
• Ability to review and complete reports the same day
• Excellent communication skills with the ability to communicate effectively with clients and internal staff required.

Connexion Systems & Engineering is a full-service staffing firm, whose mission is to provide "best in class" staffing services to our clients and job seekers alike. We strive to achieve excellence in staffing, job placement and recruiting services, while treating our clients, employees, and candidates with the professionalism and respect they deserve.

Company Description

Connexion Systems & Engineering is a full-service staffing firm, whose mission is to provide "best in class" staffing services to our clients and job seekers alike. We strive to achieve excellence in staffing, job placement and recruiting services, while treating our clients, employees, and candidates with the professionalism and respect they deserve.

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