Outpatient Medical Coder | Professional Fee Coder | Pro Fee Coder | Medical Coder | Patient Rec[...] Job at LanceSoft Inc., in Sacramento

Pay Rate: $54.43/hour

Job Type: Contract

Schedule: Day Shift, 5x8Hours:7:00 AM – 3:30 PM

Duration: 13 weeks with possible extension

Job Summary: Under general supervision, the incumbent independently performs coding of patient records to support accurate physician, technical, supply, surgical, and resident billing and reimbursement while ensuring full compliance. Work is performed in a centralized clinic coding unit and may include two or more of the following: professional fees, technical fees, multispecialty coding, surgical coding, and resident staff coding. The role requires reviewing provider documentation prior to charge submission, identifying all billable services, resolving documentation discrepancies with providers, entering charges into online systems, managing workqueues, and performing charge reconciliation.

Key Responsibilities: Review, Abstract, and Code Outpatient Records (80%)Review outpatient medical records and abstract medical, surgical, laboratory, pharmacy, technical, provider, demographic, and social data Distinguish billable services performed by providers, residents, interns, and other staff Identify, sequence, and code all diagnoses and procedures impacting reimbursement accurately and ethically Research and assign correct codes for new diagnoses and procedures AssignEvaluation and Management (E/M)levels using current guidelines Process APC charges using APC grouper tools Apply professional and technical coding guidelines Assign appropriate modifiers for both professional and technical services Query providers for clarification of conflicting, ambiguous, or missing documentation Apply state, federal, and internal coding and compliance guidelines Clinical Charge Entry (15%)Enter charges into designated charge entry systems within established standards Perform charge reconciliation and manage assigned workqueues Maintain a clean and organized work environment Attend mandatory coder education and training sessions Perform other duties as assigned Systems & Applications Experience Epic Charge CaptureEMR systems Mainframe applications QuantimCitrixMicrosoft Word, Excel, and Outlook Internet ExplorerHIPAA Disclosure systems Required Knowledge & Skills Ability to applyICD-10-CM, CPT, and HCPCSguidelines for single and multiple diagnoses and procedures coding Strong proficiency inE/M level assignmentusing current guidelines Comprehensive knowledge of medical terminology, anatomy, physiology, and disease processes Ability to communicate clinical and technical billing information effectively to providers and clinical staff Strong time management skills with the ability to meet productivity and quality standards Excellent written and verbal communication skills Adherence toAHIMA Code of Ethicsand all compliance standards related to fraud and abuse