Overview
Medical Coder Jobs in Maryland at Anne Arundel Workforce Development Corporation (AAWDC)
Description
Perform coding validation accuracy reviews of automated and complex Medicare medical record and claims review in accordance with all Federal regulations /guidelines CMS coding policies and coding clinics. Document findings for each claim and a clear and concise manner. Compile a report explaining the coding reviews including identified patterns inappropriate coding as well as recommendations.
Key Responsibilities
Perform coding validation accuracy reviews of automated and complex Medicare Part A and Part B medical record and claims review in accordance with all Federal regulations/guidelines, CMS coding policies and coding clinics
Document findings for each claim and a clear and concise manner. Compile a report explaining the coding reviews, including identified patterns, inappropriate coding, as well as recommendations
Perform Inpatient DRG validation and Ambulatory Payment Classification (APC) reviews to include the review documents used
Perform coding validation of the medical record reviews in response to RAC disputes/disagrees with the RVC review decisions
Maintain a Quality Assurance monthly score of 95% or greater
Requirements:
Skills, Knowledge and Expertise
Certified Coder from an accredited association, such as AAPC or AHIMA
Certified Coders may also be Registered Health Information Administrators (RHIA) and Registered Information Technicians (RHIT) credentialed by AHIMA
Not excluded or sanctioned from working with the Centers for Medicare and Medicaid Services (CMS)
A minimum of five (5) years direct coding or billing experience in the specific coding field that they will perform
Ability to work well in a remote team environment, to collaborate with others, and interface with team members internal and external to the organization
Proficient in explaining review decision through written decisions using related regulations and references
All aspects of Inpatient and Outpatient coding (ICD-10, CPT, HCPCS) experience
About Anne Arundel Workforce Development Corporation (AAWDC)
AAWDC is a nonprofit corporation that provides innovative, high-quality workforce development services to Anne Arundel County businesses and residents. We are the bridge between understanding the workforce and talent development needs of local and regional businesses and preparing individuals to meet their full career potential.
Our Business & Industry Solutions team provides various services to the local business community, and one of them is recruitment assistance. Therefore, the job postings in this section are not directly associated with our organization; instead, they are featured here as a service for one of our business partners.
Title: Medical Coder
Company: Anne Arundel Workforce Development Corporation (AAWDC)
Location: Maryland
Category:
