Job Location: Austin, TX

SCOPE/GENERAL PURPOSE OF JOB:

This position is responsible for providing medical coding auditing services
to physician practices, billing companies and hospitals and other related
entities with a concentration on coding audits of physician and hospital
outpatient claims, and coding education.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Performs coding audits of physician and hospital outpatient services, either at the client’s location or remotely, per client preference and consistent with the scope of the contract.
  • Creates clear explanations of errors as well as authoritative guidance for coding recommendations for all projects.
  • Customize training materials to the client’s specific needs.
  • Maintains confidentially of all information related to patients, medical staff, finances and all other RCCS and client information.
  • Demonstrates thorough understanding and ability to research all aspects of coding, compliance, documentation and reimbursement for assigned specialties.
  • Maintains accurate records of time spent on tasks for both client and non-client projects.
  • Adheres to all RCCS Corporate Policies and Procedures.
  • Assists with other duties as assigned.

EDUCATION AND/OR EXPERIENCE:

  • National
    certification in coding
    (AHIMA or AAPC) or health
    information management preferred.

SCOPE/GENERAL PURPOSE OF JOB:

  • Knowledge
    Areas:

    • Knowledge
      of coding, documentation and reimbursement.
    • Knowledge
      of organization policies and procedures.
    • Knowledge
      of health care administration principles.
  • Skills:
    • Knowledge
      of business office procedures.
    • Skill
      in identifying and resolving problems.
    • Ability
      to establish and maintain effective working relationships with all employees
      and clients.
    • Knowledge
      of CPT, ICD-10-CM and HCPCS coding related to Evaluation and Management,
      radiology, surgical and/or other specialty services.
    • Must
      be competent and comfortable with MS Word, Excel, and PowerPoint.

SUPERVISORY
RESPONSIBILITIES: No

PHYSICAL DEMANDS:

The physical demands described
are representative of those that must be met by an employee to successfully perform
the essential functions of this position. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential functions.
This position requires full range of body motion including manual and finger
dexterity and eye-hand coordination. The position additionally requires
standing/sitting for extensive periods of time. Occasional lifting and carrying
items weighing up to forty (40) pounds may be required. Requires corrected
vision and hearing to normal range.

WORK ENVIRONMENT:

The work environment
characteristics described are representative of those an employee encounters
while performing the essential functions of this job. Reasonable accommodations
may be made to enable individuals with disabilities to perform the essential
functions. Work is performed either in an office environment involving frequent
interaction with staff, clients and the general public, or a secure dedicated
location within the employee’s home.

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