Innovaccer Analytics
Healthcare
4242MedicalCodingSpecialist
“4242-Medical Coding Specialist at Innovaccer Analytics. Skills: Medical coding, Claim resolution, HIPAA compliance. Review front-end claims. Analyze front-end claims”
What You'll Achieve.
Maintain 90% coding accuracy
Industry & Context.
Resolve coding issues; Resolve documentation issues
What They're Looking For.
Must Have
AAPC or AHIMA Certification, 3+ years of professional coding experience, Working knowledge of CPT, Working knowledge of ICD-10-CM, Working knowledge of medical terminology, Working knowledge of anatomy and physiology, Working knowledge of Medicare reimbursement guidelines, Familiarity with English grammar, Familiarity with professional documentation standards, Ability to research and analyze data, Ability to read, interpret, and apply policies, Ability to read and interpret medical documentation, Demonstrated ability to exercise independent judgment, Commitment to maintaining confidentiality, Prior experience in medical billing, Strict adherence to HIPAA compliance
Nice to Have
Microsoft Office Suite proficiency
What You'll Do.
Review front-end claims
Analyze front-end claims
Resolve front-end claims
Ensure accurate claim submission
Ensure timely claim submission
Identify coding-related issues
Correct coding-related issues
Apply coding guidelines
Apply payer requirements
Apply organizational policies
Prevent claim rejections
Support clean claim rates
Promote efficient reimbursement
Assign ICD-10-CM codes
Assign appropriate modifiers
Review medical records
Review applicable documentation
Determine appropriate codes
Ensure diagnosis codes meet medical necessity
Utilize internal coding resources
Utilize payer guidelines
Utilize reference materials
Follow HIPAA regulations
Uphold privacy standards
Uphold confidentiality standards
Maintain current knowledge of laws
Maintain current knowledge of regulations
Maintain current knowledge of payer policies
Maintain current knowledge of industry guidance
Independently review claim holds
Independently resolve claim holds
Participate in department meetings
Participate in one-on-one meetings
Participate in mentorship meetings
Escalate identified client trends
Escalate coding-related questions
Maintain CEU requirements
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Work with revenue cycle partners; Collaborative working relationships
Communication Scope
Written communication; Verbal communication
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