HMS Holdings jobs - 1 jobs

The Coding Specialist performs medical review of medical information. Reviews medical information to collect data, insure appropriate billing of data and follow up on questions or concerns raised by nurse and physician reviewers or health care providers. Applies knowledge of Medicare/Medicaid rules and regulations pertaining to appropriate billing and coding of Medicare or Medicaid accounts. Assists with project development by serving on project teams as requested. Assists with project data analysis, reporting, and feedback. Offers quality improvement suggestions on project protocols and processes. Coordinates and manages all aspects of the medical records logistics for UR and Quality Study Project records to include: the process flow of all records, the production and accuracy of barcode labels and denial folder labels, verifies accuracy and consistency of naming of convention within tracking software, identifies timetables for retaining records for on-site, off-site, and destruction. Requirements: Minimum 3 years inpatient clinical coding experience. Demonstrated experience with DRG, APG, or other prospective reimbursement systems. Demonstrated experienced in ICD-9-CM and CPT coding for the clinical area under evaluation for the specific contract to which position is assigned. Demonstrated ability to analyze and evaluate medical information necessary to evaluate and collect specific health care information.