- Responsibilities:
Assisting medical reviewers in regarding initial assessment of a complaint and drafting the initial report.
Obtaining
and reviewing medical records; identification of missing records,
pre-existing conditions or inconsistencies in medical records etc for
FDA.
Preparing of medical summary, highlighting issues and recommendations for further investigation.
Preparing of exhibits and cross examination questions related to medical issues for FDA trial.
Researching and analyzing of case issues, including medical research medical articles and expert articles.
Providing consultation, research and investigation of medical records for publishers.
Excellent communication and organizational skills.
Excellent communication and organizational skills.
Ability to read general periodicals, journals, procedures and government regulations.
Acute care hospital care experience preferred.
Demonstrates thorough knowledge of medical terminology, standard medical abbreviations, anatomy and physiology, pathophysiology and pharmacology.
Engage in prescribed query process and provider education as the primary liaison for clarification of documentation that is inadequate, ambiguous or unclear for coding purposes.
Adheres to Official Outpatient Coding Guidelines, CMS policies and regulations and all client internal policies and procedures.
Reports any coding or documentation concerns to direct supervisor real-time for necessary follow-up and client communication.
Communicates professionally and effectively with other coding staff, physicians key departments and designated client staff.
Demonstrates effective time management skills by completing all assignments within time constrains and calendar schedule.
Reviews all client coding reference material and applicable policies and procedures to insure compliant and consistent coding.
The coder must act independently in highly diverse and complex situations.
May include mentoring and assisting in training of other coders within the department.
Participates in coding/auditing discussions to ensure best practice efforts and process are implemented ensuring maximum reimbursement through appropriate coding
Serve as a resource person to answer ongoing charge/revenue and coding related questions.
Must be able to work independently and remotely with little supervision while maintaining the company policy on coding productivity.
Works with key departments to summarize and report out on chart audit results, trends and opportunities.
Demonstrates thorough knowledge of medical terminology, standard medical abbreviations, anatomy and physiology, pathophysiology and pharmacology.
Engage in prescribed query process and provider education as the primary liaison for clarification of documentation that is inadequate, ambiguous or unclear for coding purposes.
Adheres to Official Outpatient Coding Guidelines, CMS policies and regulations and all client internal policies and procedures.
Reports any coding or documentation concerns to direct supervisor real-time for necessary follow-up and client communication.
Communicates professionally and effectively with other coding staff, physicians key departments and designated client staff.
Demonstrates effective time management skills by completing all assignments within time constrains and calendar schedule.
Reviews all client coding reference material and applicable policies and procedures to insure compliant and consistent coding.
The coder must act independently in highly diverse and complex situations.
May include mentoring and assisting in training of other coders within the department.
Participates in coding/auditing discussions to ensure best practice efforts and process are implemented ensuring maximum reimbursement through appropriate coding
Serve as a resource person to answer ongoing charge/revenue and coding related questions.
Must be able to work independently and remotely with little supervision while maintaining the company policy on coding productivity.
Works with key departments to summarize and report out on chart audit results, trends and opportunities.
Accurately assign principal and secondary ICD-9-CM codes, APR/DRG, MS/DRG codes, AHA Official Coding Guidelines.
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