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Profee Coder (temp)

Profee Coder (temp)

Default GeBBS Healthcare SolutionsCulver City, CA, US
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Job Description

Job Description

Description :

  • Temporary (3-4 month project with the possibility to become Permanent)
  • Accurate Coding : Assign E / M, modifiers, and ICD-10 codes from documentation ensuring proper medical necessity and preventing unbundling.

Charge Review WQ’s : this entails reviewing the providers submitted coding in EPIC against the documentation and working any EPIC edits and then recommending coding changes back to the departments to make the corrections.

  • Claim Edit WQ’s : this entails reviewing the providers submitted coding in EPIC against the documentation and working Clearing House rejections / edits and then recommending coding changes back to the departments to make the corrections.
  • Follow-Up WQ’s : this entails reviewing the providers submitted coding in EPIC against post bill denials / edits and then recommending coding changes back to the departments to make the corrections.
  • Keep assigned EPIC WQ’s within
  • Maintain 95% quality
  • CPH Expectation = 8 submissions per hour

    Requirements :

  • Current CPC or equivalent through the AAPC or AHIMA required
  • CEMC preferred, but not required

  • Must have at least three years of active E / M coding experience for multiple specialties. This experience must include coding POS 11, 21, 22, coding of in-office procedures across multiple specialties and must be able to code all types of E / M visits (ED, CC, home health, prolonged services, etc.)
  • Must have at least three years of active surgery coding experience
  • Experience with Medicaid of California guidelines strongly preferred
  • Must have recent experience in EPIC in Follow-Up WQ’s (denials) and in either :

  • Charge Review WQ (coding)
  • Claim Edit WQ (edits)
  • Must have multi-specialty EM and procedure / Sx coding experience in ALL of the following specialties (this doesn’t apply to each person, but the position as a whole) :

  • Primary Care
  • Pediatrics
  • Colorectal
  • Gynecology (non-delivery OB)
  • Urology
  • Must have EM and procedure / Sx experience in at least 5 of the specialties below :

  • Cardiology
  • Cardiothoracic
  • Endocrinology
  • Gastro
  • Internal Medicine
  • Nephrology
  • Neurology
  • Orthopedics
  • Physical Therapy
  • Psychiatry
  • Rheumatology
  • Spine
  • Vascular
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    Coder • Culver City, CA, US