Sr. Executive/ Executive HIM

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.

• Minimum 1 years of Medical Coding Experience.
• Strong Knowledge on coding appropriate ICD's, CPT's and HCPC Codes.
• Strong Knowledge to ensure in assign codes based on coding and customer guidelines.
• Hands – on Knowledge in CCI edits, LCD, NCD coverage determination etc.
• Strong Knowledge in Medical terminology, Human Anatomy and Physiology
• Strong Knowledge in Hospital initial Inpatient Care, Subsequent inpatient care, Hospital Discharge Day Management and Admission and Discharge same day/ Different day.
• Time based coding
• Strong in level of service determination with 1995 & 1997 documentation guidelines.
• Knowledge of coding all CPT's related to inpatient bed side Procedures
  • Foley Catheter placement
  • NG Tube Placement
  • PEG tube Placement
  • Wound Dressing (Separately billable)
  • CPR
  • Intubation
  • Central Line Placement
  • ABG
• Sound knowledge of evaluating the Medical Decision making for arriving correct E/M codes
• Time based coding for New Patient/ Established Patient.
• Thorough knowledge of the MDM table points.
• Strong knowledge in Inpatient consultation coding, Hospital observation services.
• Knowledge on Psychiatric care codes.
• Maintaining a quality threshold of 97% and meeting the client expectations.
• Maintaining 100% production from day 1 (per ramp)
  • Laceration repair
  • Incision and Drainage
  • Foreign body removal
  • Burn Care
  • Splint
  • Fracture reduction
  • Nail Procedures
  • Podiatry procedure
  • IV/Hydration/IM
  • Epistaxis
  • Cerumen Impaction removal
  • Vaccine Administration/ Product code
  • Depo injection
  • IUD removal/ Insertion
  • Nexplanon Removal/ Insertion
  • TB test
  • Colposcopy
  • Endometrial Biopsy
  • Punch Biopsy
• Thorough knowledge in below areas.
  • Preventive Medicine
  • Wellness/ Annual Examination
  • Psychological Testing
  • Psychotherapy
  • Family Medicine
  • Obstetrics and Gynecology
  • School Physical/ Sports Physical
  • Nurse Visit
  • Outpatient consultation coding
• Sound knowledge of evaluating the Medical Decision making for arriving correct E/M codes along with any simple procedure done.
• Strong knowledge in New vs Established patient criteria.
• Time based coding for New Patient/ Established Patient.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.