Description
Summary of Qualification OrthoVirginia 2015 - Present Medical Coder 1,2 Audit records to ensure proper submission of services prior to billing on pre-determined selected charges. Supplies correct ICD-9/ICD-10 diagnosis code on all diagnoses provided. Supplies correct CPT code on all procedures and services. Audit medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies. Maintain compliance standards in accordance with the Compliance policies and the code of Conduct. Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensure that the final diagnosis accurately reflects the care and treatment rendered. Analyze provider documentation to assure the appropriate Evaluation & Management levels ae assigned using the correct CPT. Abstract CPT codes from operative reports Contact providers to train and update then with the correct coding information Attends seminars and in-services as required to maintain current coding issues. Performed other related duties which are included, but no listed in the job description. Hanover Family Physicians, PC Family Practice 2006 - 2015 Knowledge in anatomy, physiology, and medical terminology to correctly code diagnosis and procedures. Proficient in Electronic Medical Records and Allscripts Coding. Knowledge of medical coding regulations and guidelines including compliance and reimbursement. Expertise in reviewing and assigning diagnosis, procedure for services render by the physicians. Knowledge of ICD-9, ICD-1, HCPCS Level 1 and 2, and ICD-10. Submit claims to insurance carriers. Professional experience in hospital pre-admission, outpatient, inpatient and surgical procedures, registration, and Insurance verification * Residential property management * A team player, multi-task oriented, proficient, and self-starter with the ability to work effectively, and independently