HIM Coder at Scarborough Health Network responsible for coding and abstracting patient records. Reporting to the Manager of Coding and Data Quality and engaging in education on safety practices.
About the role
- Medical Coding Edit Specialist resolving coding account edits for healthcare provider like e4health. Focused on maintaining accuracy and productivity within coding standards.
Responsibilities
- Responsible for resolving coding account edits of multiple patient types prior to billing
- Responsibilities will include assigning and/or correcting codes and modifiers with ICD-10-CM, CPT and HCPCS Level II Codes
- Maintain consistent accuracy rate of 90% or better while also meeting agreed upon productivity standards
- Reconcile held accounts by resolving the edit and dropping the account
- Responsible for all account edits from various payors and vendors
- Identify and report major edit issues
- Assist in identifying problems and resolution thereof
- Identify opportunities to reduce coding edits by providing proactive education
- Communicate quality issues to management as appropriate
- Maintain required productivity and quality requirements
- Maintain coding credential requirements
Requirements
- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 2 years’ coding experience preferred
- Must have up to date knowledge of third-party rules and regulations
- Epic & 3M experience preferred
- Must have facility (HB) IP/OP experience with Claims/Denials
Benefits
- 401(k) with company match and discretionary profit sharing
- group medical, dental, vision, life, & short-term disability insurance
- PTO policy
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