Medical Coder

Software Guidance & Assistance, Inc., (SGA), is searching for a Medical Coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL. (% remote CST hours)

Responsibilities :

• Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
• Ensures accurate, timely, and appropriate assignment of ICD-, CPT / HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
• Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
• May be tasked with generating reports and / or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
• Provides coding feedback to providers, clinical department leadership, and revenue cycle team
• Assist coding educators with education regarding documentation improvement
• Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
• Assists with design and implementation of workflow updates and coding tools
• Support denial team on coding related denials
• Special projects as assigned

Required Skills :