Medical Coder
5 months ago
**Job Summary**
GluCare is a Technology company disguised as a Diabetes Clinic. We use technology enhanced services to provide metabolic health service, primarily for diabetes and other endocrinology services as well as common comorbidities. We are looking for a coder to assist us with our insurance claims.
**Duties and Responsibilities**:
- Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
- Researches and analyzes data needs for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
- Reviews and verifies documentation supports diagnoses, procedures and treatment results.
- Identifies diagnostic and procedural information.
- Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions. Serves as coding consultant to care providers.
- Identifies discrepancies, potential quality of care, and billing issues.
- Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
- Identifies reportable elements, complications, and other procedures.
- Assists lead or supervisor in orienting, training, and mentoring staff.
- Provides ongoing training to staff as needed.
- Handles special projects as requested.
- Work with insurance manager to reduce rejection rates
- Understands insurance companies policies regarding eligibility, approvals, and other requirements to enhance the coding process
- Works with insurance manager to Interact daily with doctors, nurses, and other healthcare professionals to ensure accuracy and completion of coding as necessary.
- Maintains strict confidentiality related to medical records and other data.
**Requirements**:
- Previous clinic experience required
- A bachelor’s degree in a related field a positive
- Experience in the healthcare field a positive
- Able to work with mínimal supervision in a fast paced environment
- Good time management skills
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