Remote Inpatient/Outpatient Claim Edits Coder
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About AQuity Solutions:
Headquartered in Cary, NC, a suburb of Raleigh, AQuity Solutions employs more than 7,000 clinical documentation production staff throughout the U.S., India, Canada, and Australia. With over 40 years of experience and recognized by both KLAS and Black Book as the top outsourced transcription service vendor, AQuity Solutions is focused on delivering superior business results. AAity Solutions provides healthcare professionals with key services including Medical Scribing, Interim HIM Services, Medical Coding and Medical Transcription.
Position Summary:
This is a remote coding position. As an experienced IP/OP Claims Edit coder you will be responsible for providing coding and abstracting services for clients IP/OP records using ICD-10 CM/PCS and CPT/HCPCS coding systems. You will use established coding principles, software and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record.
Essential Functions:
-Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
-Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
-Ensures appropriate DRG assignment.
-Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
-Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
-Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
Requirements:
-AAPC/AHIMA credential required.
-Strong working knowledge of inpatient & outpatient claim edits
-EPIC & 3M experience preferred
-Must have a minimum of 3 years of IP/OP coding/ claim edits experience; 5-7 years preferred.
-Some understanding of laboratory CPT codes
-Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
-Extensive knowledge of ICD-10 CM/PCS and CPT/HCPCS coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing.
-Must pass coding proficiency test.
Why Work for AQuity?
We offer competitive benefits such as:
Competitive salary
Three weeks of paid time off (120 hours) annually
Seven paid holidays annually
Job related education reimbursement, CEU, and credentials
Opportunity to work remotely and can work flexible hours contingent on clients' needs
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