Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types
Performs 'medical necessity checks' for Medicare and other payers as required per payment guidelines
Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis
Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards

1 year of previous coding experience
PC and Computer application knowledge and experience
Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint)
Experience with EPIC and previous use of coding software tools
Must be inquisitive and demonstrate openness to innovation including AI

Medical Coding Specialist

Key skills