Coding Consultant

Summary: Reviews, verifies coding accuracy, codes, abstracts, and coordinates erroneous coding. Requests medical records as needed to support coding and adhere to billing requirements. Essential Duties and Responsibilities: Include the following. Other duties may be assigned. - Screens & coordinates corrections on pre-bills to ensure accurate coding - Assigns diagnostic codes for services/ treatment from health records - Serves as coding contact and resource for billing office and clinic employees - Codes denial logs and works with clinic to resolve denials - Requests medical records as needed for supporting documentation, billing requirements and claim resolution. This position will be located at our Fort Wayne office. Some local travel will be required.
Education and/or Experience Preferred: High school diploma or general education degree (GED); Certified Professional Coder (CPC), Certified Coding Specialist (CCS-P) certification required and 1 year experience coding with a strong knowledge of insurance billing and coding procedures including ICD10, CPT, AMA and Medicare coding guidelines; CPMA a plus but not required or equivalent combination of education and experience. Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to physicians, practice managers, clinic staff, and other employees of the organization. Ability to effectively communicate with insurance carrier staff and vendor staff. Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Computer Skills: To perform this job successfully, an individual must have experience with general computer applications and practice management systems.
Job: _Health Information Management_
Organization: _Lutheran Medical Group_
Location: _IN-Peru_
Requisition ID: _1822310_

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