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Medical Coder
Chicago, IL

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Posted 10/19/2016

Required Skills

  • ICD 9 AND ICD 10
  • Certified in at least 1 (RHIT, CPC, CPT, CCS)
  • Must have coding experience on resume and familar with with CPT and HCPCS, and ICD-9 code sets
  • Claims Examiner experience will help
  • Process claims with a high level of productivity (average 53 claims per day) and minimum average accuracy levels (Procedural accuracy of 97.0% and Transmission accuracy of 97.0%) in accordance with all departmental standa

Job Description

  • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission
  • Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guideline
  • Maintain compliance with all company policies and procedures
  • Review invoices from international providers and assigns accurate US code for services
  • Review claims to determine if costs were reasonable for the service performed
  • Process claims by entering patient, payment and provider information timely and accurately
  • Identify and correct any and all duplicate claims received
  • Conduct medical record research and examine other claims to obtain detailed information needed to accurately process the claimContinually improves training to reduce the ‘time to proficiency’ for new hires and employees
  • Provides competence based programs with a focus upon improvement of skills and retention
  • Works with management to identify areas of opportunity to improve quality efforts
  • Serves as a mentor and coach to new hires and provides ongoing education guidance to all staff
  • Evaluates quality and education issues and trends and recommends improvements to the Director of Education
  • Serves as a member of the enrollee education committee
  • Assists in the development and implementation of the mentor program
  • Performs other related activities as assigned

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