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E&M Coder/Denials - Physician

Overview: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic and procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Develops effective working relationships with physicians and other stakeholders. Qualifications: Education

• H.S. Diploma or General Education Degree (GED) Required
• Coding Certificate program, AAPC or AHIMA accredited Preferred

Work Experience

• No experience required
• Coding experience Preferred

Licenses and Certifications

• RHIA - Registered Health Information Administrator Required or
• RHIT - Registered Health Information Technician Required or
• CPC, CPC-A, CPC-H - Certified Professional Coder Required or
• CCA - Certified Coding Associate Required or
• CCS-Certified Coding Specialist CCS-P Required or
• Equivalent coding certification Required

Business Unit : Company Name:

Piedmont Healthcare Corporate