Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires the ability to understand the components of a progress note, and recognize medical conditions, as well as medications and the association to specific medical conditions. Provides feedback to management for provider education and correction purposes. Ensures that the patient records are complete in a timely manner according to the payer specific guidelines. Must be ICD-10 proficient.

Education

Associates Degree (Required)

Combination of relevant education and experience may be considered in lieu of degree.

Experience

Minimum of 3 years experience in medical billing and coding. (Required)

License/Certifications

CPC - Certified Professional Coder (Preferred)

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