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BH Coding Specialist II
Bryan Health
Remote, USA
Full-time
Senior · 5+ years experience
Remote
Discovered 1 weeks ago
ICD-10CPTCCIMUENCDLCD
Free
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ICD-10CPTCCI
Key Skills for This Role
ICD-10CPTCCIMUENCDLCD
Full Job Posting
• Location: Lincoln, NE
- 100% Remote
General Summary
Responsible for accurate and compliant assignment of CPT and ICD 10 codes supported by provider documentation in the medical record utilizing the current year International Classification of Diseases Manual (ICD-10) and the current year American Medical Association’s Current Procedural Terminology manual (CPT) ensuring optimal reimbursement.
Principal Job Functions
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*Commits to the mission, vision, beliefs and consistently demonstrates our core values.
Adheres to all relevant Bryan Health/Bryan Heart policies and procedures.
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*Accurately assigns and sequences diagnosis and procedure codes to arrive at the correct Ambulatory Payment Classification assignment - utilizing provider supporting documentation.
Maintains coding certification by performing continuing educational requirements as defined by certifying body/organization.
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*Maintains thorough understanding of Government and commercial payer documentation, coding and reimbursement guidelines, CCI edits, MUE’s, NCD’s and LCD’s.
Achieves and consistently maintains departmental productivity/performance goals and metrics.
Complies with Bryan Heart Coder Audit/Competency Program.
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*Analyzes, researches and performs payer follow up tasks specific to coding denials (including but not limited to bundling/medical necessity/non-adherence to payer coding and reimbursement guidelines).
Assists with monitoring payer denial trends and development of denials management process.
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