Coding Review Specialist – Nashville, TN

Summary: Reviews medical record documentation to select and sequence the appropriate CPT, HCPCS and ICD procedural coding. Participate in other coding related reviews and analysis.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Reviews and analyzes documentation against billed procedures to ensure accurate coding of diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements.

Makes corrections as needed to ensure accurate coding and billing and reimbursement processing.
Communicates with medical providers to clarify missing or inadequate medical record information required to complete the coding assessment.

Submits a daily report of coding results to the provider via the clinic coordinator.

Prepares a comprehensive report based on the findings of the documentation review for prebill providers.

Follows the compliance plan in determining the scope and duration of the prebill coding process.

Assists the organization’s compliance officers, as directed, to research and investigate complaints, concerns or questions relative to compliance issues.

Serves as a resource and liaison in the organization for coding related topics, issues and questions.

 

Please send all resumes in PDF form to info@actuarialconsultinggroup.org
Compensation: 60,000 TO 80,000