Total des années d'expérience :0 years, 1 Mois
Coded and Audited both Inpatient and Outpatient E/M charts and minor procedures
•Worked on Denials in multiple specialities like Inpatient and Outpatient professional services, Physical therapy, Surgery, Podiatry, Dermatology, Cardiology, Orthopedics, Pain management etc.
•Have good knowledge on insurance policies, CMS guidelines, NCD and LCD
•Audited charts and also worked on denials which were worked by other coders
Perform random and targeted coding audits to check the accuracy of coding in ICD-10-CM, CPT and HCPCS code sets
•Adhere to the compliance policies of the organization and conduct audits periodically as specified by the organization
•Develop audit feedback sessions to all staff from routine internal audit
•Identify general training trends and requirements
•Provide ad-hoc audits on request from surgery and outpatient services
•Prepare Audit report daily and share the report with the team and the manager and educate the team when necessary
Associate Coding denials- Medico Healthcare services
Coded Inpatient, observation and critical care services and Outpatient charts
•Auditing the charts coded by the other team members and guiding them properly in assigning the DRGs, E/M levels and ICDs correctly
•Preparing everyday audit reports in the excel
•Providing feedback to the coders every day and educating them regarding their errors and updating them with the client specifications
•Trained Freshers and new team members with the guidelines and verifying their coded charts.
•Review medical records and assign proper ICD-10-CM codes based on the Date of service in Outpatient charts and date of discharge for Inpatient charts and CPT codes (initial visits, consults, subsequent visits, critical care and discharge codes).
•Maintaining more than 97% quality consistently and also exceeding everyday targets
•Have good knowledge of Encoder pro software.
•Utilize EPIC and 3M software and input information into computerized patient record system.
•Abide to HIPAA policies and maintain confidential Patient Health Information (PHI)
•Also have good knowledge on surgery procedures and Anesthesia
•Assigning proper modifiers where required
•Timely submission of the files
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