Job Detail

RCM Medical Coding Processor - Allscripts - Escondido, CA - Medical Billing & Coding

Date Posted: Nov 29, 2021

Job Description

Benefits
Pulled from the full job description
Health insurance
Dental insurance
Vision insurance
Life insurance

 

Welcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Allscripts is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

Job Purpose:

This position reports to the Coding Manager and is responsible review and correct codes of all medical records for the purpose of reimbursement and compliance with federal regulations according to diagnosis and procedures(s) using current coding rules, guidelines, and classification. The position interacts and follows up with providers, patients, vendors as needed to obtain necessary records to resolve coding issues. The position is responsible to effectively support the company's RCM through accurately and timely coding of medical records

Duties & Responsibilities:

  • Reviews medical record information to identify all appropriate coding based on CMS HCC, ICD-10-CM, HCPCS/CPT categories.
  • Verifies and ensures the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Revises paper and electronic charge records to correlate diagnoses by identifying and correcting coding issues (i.e., lack of specificity, missing or incorrect modifiers, missing services, bundling/un-bundling, etc...)
  • Follows up with appropriate individuals or providers to obtain necessary records to resolve coding issues
  • Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement
  • Operates unique claim technologies to identify and resolve coding issues to submit clean claims
  • Completes appropriate paperwork/documentation/system entry regarding claim/encounter information.
  • Conducts Office/Outpatient and Inpatient Services Chart reviews
  • Assists and confers with other coders and Coding Manager concerning any problem records.
  • Research code utilization, new technologies, industry standards
  • Stays current with compliance and changing regulatory guideline
  • Demonstrates knowledge of ICD-10-CM, CPT, and CMS coding guidelines and medical terminology
  • Supports and participates in process and quality improvement initiatives
  • Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements
  • Other duties as assigned

Experience/Training/Education:

  • High School Diploma or GED
  • Certified Medical Coder (CPC, CCA, CCS) with high degree of competence in this area with a minimum of three to five years of experience
  • Excel experience preferred

Required work hours:

7:30 AM – 4:00 PM PACIFIC TIME

Must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered for employment with Allscripts.

Visa Sponsorship is not offered for this position.

At Allscripts, our greatest strength comes from bringing together talented people with diverse perspectives to support the technology needs of 180,000 physicians, 1,500 hospitals and 10,000 postacute organizations across the globe. Allscripts offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Allscripts' policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Allscripts must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Allscripts is proud to be an equal opportunity workplace dedicated to pursing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Allscripts Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

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