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 withinMaintain 95% qualityCPH Expectation = 8 submissions per hour
Requirements :
Current CPC or equivalent through the AAPC or AHIMA requiredCEMC 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 experienceExperience with Medicaid of California guidelines strongly preferredMust 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 CarePediatricsColorectalGynecology (non-delivery OB)UrologyMust have EM and procedure / Sx experience in at least 5 of the specialties below :
CardiologyCardiothoracicEndocrinologyGastroInternal MedicineNephrologyNeurologyOrthopedicsPhysical TherapyPsychiatryRheumatologySpineVascular