Responsibilities:
Accurately transcribe information from patient charts, emergency room reports, pathology report, and physician operative or consultation report to correct CPT code.
Comply with insurance company guidelines.
Research, where appropriate, the CPT and ICD-10 code book for accurate codes.
Input accurate data into HARP and/or PAS.
Continue with the required credentials based upon the coding organization (such as continuing education and recertification).
Follow up on payer denials, make edits to claims, and resubmit to the payer.
Respond to payer correspondence.
Draft appeals for denied claims.
Pull and upload medical records from client portals.
Other duties as assigned.
Qualifications:
High School diploma or GED
Current certification as a credentialed coder is required
Previous experience or training on coding medical services
Detail oriented
Ability to establish priorities, work independently, and proceed with objectives without supervision
Proficient in using HARP and PAS system – (outside hires would not have experience)
Ability to maintain confidentiality