With oversight from the department manager and
exercising independent judgment within the scope of their professional
practice, the Behavioral Health Coder/Auditor performs a variety of tasks
associated with coding physician charges and providing coding education to
providers in that area.
Duties include hands-on coding, documentation
review for internal and external audits, coding dictionary updates, rejections
and denials, surgical coding, physician or other care provider education, and
other coding needs for ICD-10 and CPT® coding of inpatient and outpatient
Resources Inc. is a leading consulting group assisting healthcare organizations
nationwide in optimizing its revenue cycle management through review, recovery
and educational programs.
Please read the below description and apply if
you meet the requirements and would like to hear more about this opportunity
with Managed Resources.
Essential Duties &
but not limited to:
- Provides review and/or coding of any professional
services including but not limited to surgeries, encounters, and
diagnostic services for appropriate use of CPT®, ICD-9, ICD-10, HCPCS, and
Modifier usage/linkage as well as provide ICD-9 or ICD-10 coding where
needed for handwritten/missing diagnoses.
- Provides same for areas where work files are used. In
areas where paper is used, reconcile daily charges against log (if
available/applicable) to ensure daily capture of coding charges expected.
Productivity and accuracy for work file and non-work file standards must
be met according to guidelines set by manager.
- Review and assist in updates of coding
dictionaries/encounter forms/charge slips as needed for accuracy of CPT®,
HCPCS and ICD-10 Coding.
- Periodic review of codes, at least annually or as
introduced or required
- Answers and responds accurately and timely to questions
on the telephone, voice mail, and e-mail
- Reports regularly on daily activity, productivity, and
findings of reviews/rejections/education via electronic file or database,
e-mail, paper, or other means as required by manager.
Education & Professional Development:
- Stays updated and current on
CMS, AMA and Local Coverage Determinations (LCD’s), to ensure compliance
with coding guidelines.
- Stays current on CCI Edits,
Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and
5+ years experience in Behavioral
AAPC or AHIMA Certified
Behavioral Health coding and audit experience
Solid communications skills
with medical staff/providers
Works well in a collaborative
Strong computer skills
Experience working remotely a
· High School Diploma or GED,
plus additional specialized training associated with attainment of a recognized
Coding Certificate including Medical Terminology, Anatomy and Physiology, and
Skills, Knowledge & Abilities:
- Excellent Verbal and Written
Communication skills required.
- Excellent Presentation Skills
- Basic computer skills required.
Resources Inc. is an Equal Opportunity Employer (EOE) M/F/D/V/SO