Newton, NJ, USA
10 days ago
Coder - Outpatient OP

Responsible for coding medical records according to coding guidelines to ensure accurate and timely codes for bills to be processed. Reviews medical record documentation, assigns appropriate diagnostic and procedural codes, and investigates and resolves diagnosis coding issues. Assists in the maintenance of client billing records and statistics.

Principal Accountabilities:

1. Assigns codes in accordance with ICD - 10, CPT, and E/M coding guidelines to provide statistical information for research, reimbursement and analysis of quality of care.

2. Investigates and resolves coding issues.

3. Acts as a liaison between coding guidelines and codes.

4. Researches and prepares bills for reimbursement, outpatient, physician offices, and charge backs.

5. Maintains account records and researches inquiries; resolves inaccuracies; follows up on outstanding and open bills; contacts insurance companies and/or payers periodically for current status of account.

6. Responds to questions from patients, insurance companies, payers, etc..

7. Assists with the preparation of accounts payables for signature and submission and runs status of collections reports on account receivables.

8. Performs other related duties as assigned.

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