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Coder II

Franciscan Medical Group

Job Summary and Responsibilities As a Coder II , you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. Abstracts, assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all necessary information from documentation to identify secondary complications and co‑morbid conditions. Meets FMG Production standards for coding procedures. Meets FMG Quality standards per the Coding Audit and Monitoring process. Follows all Coding department policies and procedures. Understands and applies changes in the external regulatory environment, third‑party reimbursement agencies, and stays current with coding updates ensuring clean claims are submitted for adjudication. Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data. Job Requirements Required Two years of coding experience using CPT and ICD-10-CM or equivalency. Certified Coding Associate, upon hire or Certified Professional Coder, upon hire or Certified Professional Coder Apprentice, upon hire or Certified Coding Specialist, upon hire or Certified Coding Specialist - Physician Based, upon hire or #J-18808-Ljbffr Franciscan Medical Group

Vacancy posted 2 days ago
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