Medical Necessity Coder, Medical Necessity Management, Ft,09A-5:30P

Thorough working knowledge of current ICD CM coding system, CPT procedures, Medical necessity, Medical Terminology, Anatomy, Physiology, and Prospective Payment system (DRG's). Screen all services for Medicare and Medicaid patients to comply with the Center for Medicare and Medicaid Services (CMS) guidelines in order to determine coverage, eligibility and ensure beneficiary notification when service(s) may not be covered. Ability to work and serve as a reference to internal and external customers. Estimated pay range for this position is $20.02 - $25.43 / hour depending on experience. Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• Required completion of an accredited Certified Coding Specialist program or Associate Degree in Health Information Management Science with two years outpatient coding experience.
• CPC or CCS preferred.
• ART or R.
• R.
• A.
• eligible.
• Thorough working knowledge of medical terminology, anatomy, physiology, current ICD CM coding systems, and CPT.
• Competency in computer applications, medical necessity verification systems, and Prospective payment system (DRG's).
• Ability to communicate effectively with external customers.
• Bilingual highly preferred.

Minimum Required Experience: 1 Year