Company: coronis health
Posted on: June 12, 2021
Senior Medical Coder & Clinical Denial Specialist- Coronis
Job title: Certified Medical Coder w/ AR experience
Reporting to: Manager, Coding Department
Salary: Dependent upon certification/experience
Hours: Full Time 40 hrs a week
Location: Frederick, MD
Accurately follows coding guidelines and legal requirements to
ensure compliance with federal and state regulatory bodies.
Determines the final diagnoses and procedures stated by the
physician or other health care providers are valid and
Quantitative analysis - Performs a comprehensive review for the
record to assure the presence of all component parts such as:
patient and record identification, signatures and dates where
required, and all other necessary data in the presence of all
reports which appear to be indicated by the nature of the treatment
Qualitative analysis - Evaluates the record for documentation
consistency and adequacy. Ensures that the final diagnosis
accurately reflects the care and treatment rendered. Reviews the
records for compliance with established reimbursement and special
Analyzes provider documentation to assure the appropriate
Evaluation & Management (E&M) levels are assigned using the
correct CPT code
Enters codes in a computer software program that compiles and
organizes information for each patient.
- Performs other related duties, which may be inclusive, but not
listed in the job description
Research payer denials related to referral, pre-authorization,
medical necessity, non-covered services, and billing resulting in
denials and delays in payment.
Initiate appeals with insurers appropriately.
- Submit detailed, customized appeals to payers based on review
of medical records and in accordance with Medicare, Medicaid, and
Credentials & Skills
Experience in Epic and Encoder is required.
High School Diploma
Medical Coding Certificate - CPC, CCS or RHIT certification is
Knowledge and understanding of Excel.
- Computer competency
Keywords: coronis health, Frederick , Senior Coder, Other , Frederick, Maryland
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