Certified Medical Coder & Claims officer
American Academy of Professional Coders
مجموع سنوات الخبرة :2 years, 8 أشهر
- Reviewing Medical Records: Scrutinizing medical documentation, such as physician notes, lab results, and radiology reports, to identify diagnoses, treatments, and procedures for coding purposes.
- Assigning Codes: Utilizing coding systems such as ICD-10, CPT, and HCPCS to assign appropriate codes to the identified diagnoses, procedures, and services. Ensuring accuracy and adherence to coding guidelines and regulatory requirements.
- Data Entry and Documentation: Entering coding information into electronic systems or health information management software to maintain accurate and up-to-date records. Maintaining confidentiality and privacy of patient information.
- Claims Review: Collaborating with claims processing teams to ensure consistency between medical records and claim submissions. Identifying any discrepancies or potential coding errors and resolving them promptly.
- Coding Audit and Compliance: Participating in coding compliance audits to verify coding accuracy and compliance with established coding guidelines, medical policies, and reimbursement protocols. Making recommendations for process improvements when necessary.
- Continuous Education: Staying updated on the latest coding guidelines, regulations, and changes in the healthcare industry. Participating in professional development activities, such as attending seminars and webinars, to enhance coding knowledge and skills.
- Collaboration: Working closely with healthcare providers, medical billing personnel, claims adjusters, and other team members to resolve coding-related issues, clarify documentation discrepancies, and ensure accurate coding representation.
- Documentation Improvement: Identifying opportunities for documentation improvement and providing feedback or training to healthcare providers about proper documentation practices to ensure accurate coding and optimal reimbursement.
- Quality and Productivity: Striving for accuracy, consistency, and productivity in coding assignments while maintaining high-quality standards. Meeting or exceeding coding productivity and accuracy targets set by the organization.
- Regulatory Compliance: Ensuring compliance with healthcare regulations, such as HIPAA and other relevant laws, in relation to medical coding and patient data handling.
-Assist in teaching anatomy to students.
-Provide support in laboratory sessions.
-Help prepare instructional materials and resources.
-Assist students with practical and theoretical knowledge.
-Collaborate with faculty to enhance learning experiences
-Provide medical care and treatment to patients under the guidance and supervision of senior physicians.
-Perform thorough medical examinations, diagnose illnesses, and develop appropriate treatment plans.
- Administer medications, monitor patient progress, and adjust treatment regimens as necessary.
-Respond to medical emergencies and provide immediate care and interventions.
-Collaborate with other healthcare professionals, such as nurses and specialists, to coordinate patient care.
-Maintain accurate and up-to-date medical records and documentation.
- Participate in educational activities and training sessions to enhance medical knowledge and skills.
-Serve as a junior doctor responsible for patient care under the supervision of senior physicians.
-Conduct thorough medical examinations, diagnose illnesses, and develop treatment plans in collaboration with the medical team.
-Administer medications, monitor patient progress, and adjust treatment regimens as necessary.
-Participate in medical emergencies and provide immediate care and interventions under the guidance of senior staff.
-Collaborate with nurses, specialists, and other healthcare professionals to ensure comprehensive patient care.
-Maintain accurate and up-to-date medical records and documentation.
-Participate in educational activities and training sessions to enhance medical knowledge and skills.
-Contribute to a positive and professional work environment by demonstrating respect, teamwork, and commitment to patient care.
-Actively seek feedback and guidance from senior staff to continuously improve clinical performance.
The highest level of medical coding IP/OP certification