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Tag Archives: Coder

OBGYN coder seeking REMOTE job

I am seeking my first REMOTE coding opportunity. I am currently coding OBGYN, and have for 9 years, in a large private practice and have mastered all aspects of billing to include coding, claims, denials, payment posting, revenue cycle management, AR and collections. As project manager or team member, I have been identified by physicians, management, and peers as having leadership abilities. I am extremely responsible, have a tremendous work ethic and thrive on multitasking to complete a high volume workload with 97% accuracy rate.

If you are aware of any opportunities, please reach out.

Sincerely,

Jenna Seidlitz, CPC
jmhenslin@hotmail.com

Medical Billing and Coding Forum – Resume Postings

Job Opportunity HCC Experienced Coder

Fort Lauderdale, FL – Please contact brandy.fields@holy-cross.com for additional information.

Job Description Details:
Assists ACO/CIN and physician practice leadership with identifying documentation for incomplete or inconsistent documentation in the record which impacts HCC or other risk score coding.
Provides training to health care professionals in ICD-10-CM, CPT, and HCPCS Coding Guidelines, modifier guidelines, documentation guidelines, medical terminology and disease processes.
Conducts pre and post proper coding and documentation review for accuracy.
Reviews charges assigned by providers for accuracy and completeness prior to charge being submitted.
Provides spreadsheets of missing documentation and identifies opportunities for improvement to the ACO/CIN Executive Director and Primary Care leadership.
Assists ACO/CIN and physician practice leadership with quality reviews to validate coding and to ensure compliance with CMS Coding Guidelines and Trinity Standards for Outpatient Physician Services.
Provides training to ACO/CIN physicians and practice leadership on NCQA, Commercial, Medicare Advantage and Medicare Shared Savings Program Quality Metrics.
Participates in Trinity work groups, training, and other efforts and forums to address appropriate coding and documentation for ACO/CIN beneficiaries
Works closely with Hospital Compliance Department

Minimum Education:

Required:
Certified Coder with Hierarchical Condition Category (HCC) experience
Minimum of 5 years experience with Health Care Plan, Healthcare System, Management Services Organization (MSO) or Managed Care Organizations (MCO)
RHIA, RHIT, CPC or CCS/CCS-P with completion of an associate’s or bachelor’s degree

Medical Billing and Coding Forum – Employment General Discussion

Giving a coding presentation to SIU dept with no coder.. help?

I am speaking/giving a presentation on 7/7 on general coding information and coding error trends and how they relate to fraud and abuse to a government payer SIU dept. I have only ever spoken with providers and coders on coding and CDI related topics. I have never spoken with someone who is not well versed in coding guidelines or documentation guidelines.

Is there anyone here that has presented to a group of SIU’s or that IS an SIU that would be willing to connect with me through email?

My email is kiraflintcoder@gmail.com

thanks in advance!

Medical Billing and Coding Forum – Auditing General Discussion

Coder dilemma

Im having a coder dilemma: my supervisor told me to code from the procedure report on any lower GI procedures even if a path report exists. I DONT AGREE. We are to code to the highest level of specificity. I have issues with the providers impression that the pt has sessile polyps does the resection then states in the report AWAIT PATH RESULTS. I would not code the polyp when the path report clearly states that the tissue is NOT polypoid and is either a fold or mucosal tissue with lymphoid aggregates. Supervisor says that per the AGE……GI is the only specialty that allows this kind of coding. Thank you. Linda P

Medical Billing and Coding Forum – Compliance General Discussion

New Orthopedic Coder Position at OMG

We are hiring again.

Outsource Management Group, LLC, is seeking an experienced orthopedic coder to work in our office and closely with our numerous orthopedic clients.

This position is to be full-time with all benefits, however,  a part-time position is possible for a candidate that fits perfectly, but is unable to be full-time. This position is to be filled in our office at the address below, if you are unable to work in our office in Bloomington, Indiana, please do not submit a resume for this position.

Acceptable candidates possess either 1 or more of the following:

1. Currently holds a coding certification through AHIMA or AAPC
2. Has 2-3 years experience coding in an orthopedic setting

Resumes can be sent directly to:

Director of Operations, Kathryn Etienne at k.etienne@omgrcm.com

or by mail to our office:
2201 W Sudbury Drive, Suite C, Bloomington, Indiana 47403.

Thank you in advance to all interested in a wonderful career with us at OMG, LLC!!
.

The post New Orthopedic Coder Position at OMG appeared first on Outsource Management Group, LLC..

Outsource Management Group – Outsource Management Group, LLC.

Coder

My Dr is wanting to start a g tube clinic. He wants our office nurse to change the g tubes in this clinic. He will not be in the clinic he will be around the hospital or here in the office.
How would this be billed? Would it be billed under him as long as he signs that it was done? I am not sure about RN’s billings. I have only billed for our NP.
Thank you for any help.

Medical Billing and Coding Forum – General Discussion

Experienced OB-GYN coder seeking REMOTE

I have 9 years coding OB-GYN, claim submission, denials, revenue cycle manangement, etc. and am seeking full time opportunity. Tremendous work ethic, extremely fast learner, leadership qualities. Prefer REMOTE as am located in Montana.
Any tips on how to start in REMOTE coding? Should I try on my own as independent or seek employment from a company?

Jenna Seidlitz, CPC
(406)855-4802
jmhenslin@hotmail.com

Medical Billing and Coding Forum – Employment General Discussion

Practical Ways To Find A Coder

You are a business owner and you have launched a website of your company to promote your business. Now, it is ideally recommended that you should hire a professional coder who could take care of your website. There are many things that you should necessarily know about coding and how it helps in the maintenance of a website before you should go forward to find a coder who has the right kind of expertise.

First of all, you should know that a coder or a designer not only helps maintain a website but also he or she makes all efforts to keep it highly optimized on search engines. The success of a business depends on its website. If the website gets high online traffic and draws in large number of visitors, your business prospects would get boosted.

Therefore, make sure that you find a designer or a coder who could take care of your website and at the same time ensure that your website gets high online traffic and always remain on the first page of any search engine. At times, finding an experienced coder becomes a daunting task. Therefore, make sure that you take extra care once you trace out an expert coder for your website.

Below-mentioned tips can help you much if you want to know how to find a coder or how to find a designer that can match your requirement.

Browse internet and search popular job websites. It might be a very effective idea to direct your search for an experienced coder towards internet. There are several job portals that specialize in offering this kind of jobs. All you require is to sign in and post your requirement. You would soon have in your inbox dozens of profiles sent from candidates.

Selection of a coder or designer might turn out to be tricky task. Therefore, you should be highly realistic while selecting your required coder. Make sure that the candidate you are going to hire has the experience to use HTML codes and Meta tags.

These things combine to help you find a coder in the best way.

Steve Harmision writes about freelancing jobs and provides fruitful information about best freelance projects. To find a coder or find a designer for your project, please visit http://www.onlyfreelancer.com.

How an RMC Credentialed Coder Can Enhance the Business Side of Any Physician Practice

RMC Registered Medical Coder Certification

Long gone are the days in which physician practices could rely on a single office manager to oversee operations and perform the coding and billing. Today’s practices are under an almost unfathomable amount of scrutiny by auditors and payers, requiring a highly specialized knowledge of the healthcare system. Couple that with electronic medical record (EMR) implementations, the Affordable Care Act, and the recent transition to ICD-10, and you’ll find that many practices are struggling simply to stay in business. In fact, many practices have joined larger groups, hospital networks, or Accountable Care Organizations because of the option to share compliance risk and resources among various participants.

ICD-10 and other regulatory requirements have also inspired a trend toward hiring credentialed coders who can help physician practices navigate regulatory changes with ease. Physicians are beginning to realize that selecting a code in ICD-10 is not a straightforward task. Physicians must choose from among hundreds of codes in an EMR dropdown menu. Even the narrative descriptions for many of these codes differ from their ICD-9 counterparts. Physicians either take the time to choose a correct and specified code—and therefore lose precious productive time—or they simply choose the first code that pops up regardless of its accuracy or specificity. Neither of these scenarios is good for the business side of the practice.

 

Gaining a financial peace of mind

 

In a post-ICD-10 world, certified coders provide an added layer of financial security by:

• Validating code accuracy and specificity, which can, in turn, ensure accurate reimbursement and outcomes reporting
• Determining whether documentation supports code assignment (i.e., Do clinical indicators and other details documented in the record match the code assigned?)

    Once this information is verified, billers are able to submit a clean claim with a lower likelihood of denial. Without this added level of review, practices run the risk of sending bills that are subsequently denied and that must be appealed or written off.

    In addition to promoting accurate code assignment, certified coders also enhance these other business processes within the practice: 

    • Clinical documentation improvement (CDI). CDI serves as the backbone of a practice, ensuring that patient severity and complexity is captured within the documentation.
    • Compliance. Certified coders establish ongoing internal audits that target E/M code assignment, diagnosis code assignment, and other high-risk areas identified by the Office of Inspector General and Recovery Audit Contractors.
    • Training and education. Certified coders provide training for all physicians and other staff members about important regulatory and coding changes, keeping everyone one step ahead of auditors.
    • Process improvement. Using data analytics and other tools within the EMR, certified coders monitor denials and identify/address the root cause of any problems. This is critical in ICD-10.

     

    Looking for the right credential

     

    Various organizations offer coding credentials and certifications; however, MMI’s Registered Medical Coder (RMC) credential is the only one in the industry that requires an annual retest to ensure ongoing competence. The retest measures coders’ knowledge of important CPT, HCPCS, and ICD-10-CM code changes that affect all specialty areas the majority of practices. An RMC-credentialed coder must also meet these requirements: 

    • Passing score of 76% or higher on the initial certification exam. Note that this is more stringent than any other coding certification industry standard. 
    • 12 CEUs annually.
    • Ability to demonstrate proficiency working in an online environment. MMI’s courses and certification exams are entirely online.

     

    MMI’s stringent standards for coding certification directly benefits physician practices seeking to maintain the highest degree of compliance. RMC-certified coders are able to identify areas of coding and documentation improvement and articulate important industry changes and their potential effects on the practice. By enabling prospective—rather than retrospective—compliance, RMC-certified coders enhance operational and financial efficiencies. A practice that employs a certified coder is ultimately a more profitable and compliant practice.

     

    About the Author

    Dari Bonner, RMC, CCP, CHCA
    Dari Bonner serves as the Chief Training Officer at the Medical Management Institute (MMI) where she is able to bring her 22 years of healthcare experience to the table. Dari has extensive consulting & project management experience, with her areas of expertise in both the public & private sector, hospitals, outpatient service centers and large & small physician practices. 

     

    About the RMC

    The Registered Medical Coder (RMC) certification is ideal for medical coders & billers in the physician office and outpatient setting. The credential is licensed through the Nonpublic Postsecondary Education Commission (NPEC) and is administered online through the Medical Management Institute (MMI). MMI is A+ accredited through the Better Business Bureau (BBB) and has been in business for nearly 30 years. MMI offers online medical coding training to prepare for the RMC Certification Exam. 

     

     

     

     

    The Medical Management Institute – MMI – Medical Coding News & MMI Updates

    Reflections of a Coder Coach: Ready to Get Back to Normal

    A few weeks ago, it occurred to me that my job hasn’t been “normal” for the last six years.  Right around this time six years ago is when I first went to AHIMA’s ICD-10 Academy and earned my status as a trainer.  Creating and presenting ICD-10 training materials came soon after that and it wasn’t until recently I realized that my job hasn’t been normal for the last six years.  And since I’ve only known my husband for four years, one could argue that he’s never known me when I’m normal… er.. at least when my job is normal!

    As I look around the articles and social media related to coding, a lot has changed in this industry in the six or seven years that I’ve put myself out there as the Coder Coach.  When I first started blogging and meeting once a month with coding students and wanna-be’s, there weren’t a lot of people out there looking to mentor coders.  Now, my voice is one of many as people who never heard of coding before ICD-10 jump on the bandwagon to get a piece of the action.  There have been questions about certifications – which ones to get and how to make sure ICD-10 certification requirements are met.  There have been questions about how to code things we never had to think about before – initial vs. subsequent encounters for injuries and poisonings and root operations based on procedure intent.

    I have to be honest and say that in my abnormal day-to-day life as a coder over the last few years, I’ve had trouble finding my voice and giving advice as a coding mentor.  I no longer feel qualified to tell a coder how to break into the industry because things are so different than they were 20 years ago when I got my start and coding is something that many people are now aware of – not something that people kind of fall into anymore.  Since I fill my days adding to my own intellectual bank by researching procedures and learning how to explain them – and how to code them – I wonder what it is that new coders need right now.  And for everyone who is trying to learn coding, I just want to reach out and give them all a virtual hug because this is, in my humble opinion, about the hardest time to learn this industry.

    This week I am working on something I haven’t done in years.  I’m reading the Final Rule for the 2016 MS-DRG changes.  That is something I used to read and summarize every year for my clients.  And even though the codes are different and there are some new sections to read in this super long file, I had a moment of realization, a sigh of relief if you will, that this… this is normal!  After we flip the switch on October 1 and everyone starts using ICD-10 (because I have pretty much zero faith in our congressmen to accomplish any earth shattering legislation in two weeks when they’re so focused on Donald Trump’s run for president), I’m sure there will be a few things that don’t go as planned.  But for coders, it’s a time for us to return to “normal.”  I miss having a general confidence in assigning codes (although this has gotten better as I train more coders!).  I miss code updates!  Oh, how I miss those code updates!  We’ve had frozen ICD code sets for four years!  I’ve been following the recommendations made to the Coordination and Maintenance Committee and I can’t wait to see which changes they decide to adopt on October 1, 2016.

    And maybe when the dust settles a bit and we see how many people really want to stick with coding in ICD-10, I will find my voice again as the Coder Coach.  I sincerely hope so, because I miss meeting people with a passion to learn about my passion and giving them little nuggets of wisdom to help them make a difference in this industry.

    Coder Coach