- Birmingham, Alabama, United States
- 3+ years
Responsible for accurate ICD-10-CM, CPT, and HCPCS coding for medical services in correctional healthcare facilities, ensuring compliance with Medicaid requirements and maintaining coding accuracy.
Responsibilities
- Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for outpatient professional encounters
- Maintain close working relationship with departmental staff and query providers and clinical staff when documentation is incomplete or conflicting
- Work with billing team to resolve coding-related denials and rejections; identify trends and recommend corrective actions
- Maintain current knowledge of state Medicaid fee schedules, billing manuals, demonstration special terms and conditions, National Correct Coding Initiative edits, and medically unlikely edits
- Participate in internal coding audits and maintain a coding accuracy rate of 95 percent
Requirements
- High school diploma or equivalent
- Formal coding education covering medical terminology, anatomy and physiology, and pharmacology
- Nice to have: Correctional healthcare coding experience
- Nice to have: Behavioral health coding experience
- Nice to have: Substance use disorder coding experience