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    ENMIP Coder - Sahibzada Ajit Singh Nagar, India - Alpha Consultants

    Alpha Consultants
    Alpha Consultants Sahibzada Ajit Singh Nagar, India

    Found in: Talent IN C2 - 5 days ago

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    Description

    Tips:

    Provide a summary of the role whatsuccess in the position looks like and how this role fits into theorganizatio Audits records to ensure proper submissionof services prior to billing on predetermined selectedcharges2.

    Receivesinformation to properly bill provider services forpatients3. Suppliescorrect ICD9CM /ICD10CM diagnosis codes on all diagnosesprovided4. Suppliescorrect HCPCS code on all procedures and servicesperformed5.Supplies correct CPT code on all procedures and servicesperformed6. Auditsmedical records to ensure proper coding completed and to ensurecompliance with federal and state regulatorybodies7. Accuratelyfollows coding guidelines and legal requirements to ensurecompliance with federal and state regulatorybodies8. Maintainscompliance standards in accordance with the Compliance policies andthe Code of Conduct. Reports compliance problemsappropriately.9.Determines the final diagnoses and procedures stated by thephysician or other health care providers are valid andcomplete.10.

    Quantitative analysis Performs a comprehensive review for therecord to assure the presence of all component parts such as:

    patient and record identification signatures and dates whererequired and all other necessary data in the presence of allreports which appear to be indicated by the nature of the treatmentrendered.11.Qualitative analysis Evaluates the record for documentationconsistency and adequacy.

    Ensures that the final diagnosisaccurately reflects the care and treatment rendered.

    Reviews therecords for compliance with established reimbursement and specialscreeningcriteria.12.Analyzes provider documentation to assure the appropriateEvaluation & Management (E&M) levels are assignedusing the correct CPTcode13.

    Performsother related duties which may be inclusive but not listed in thejob descriptionnoverall.

    ResponsibilitiesBespecific when describing each of the responsibilities

    Usegenderneutral inclusive language

    Example:
    Determine and develop user requirements for systems in productionto ensure maximumusability

    QualificationsSomequalifications you may want to include are Skills EducationExperience or Certifications


    Example:
    Excellent verbal and written communicationskills
    code,icd,codes