Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent contractor. Your main task will be to evaluate medical records, provide clinical summaries, engage in peer communications, and answer specific questions posed by our clients. We are on the lookout for talented professionals in the following area: - Interventional and Diagnostic Radiology Be a part of a team that values your skills and dedication to improving patient care. Your expertise is vital to helping us deliver high-quality healthcare assessments.

• Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures • Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes • Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers • Ensures appropriate coding of evaluation and management services when applicable • Meets or exceeds departmental accuracy and productivity standards • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity • Fosters teamwork and collaboration • Addresses professional coding pre-bill edits timely to ensure minimal days in DNFB • Acts as a subject matter expert for professional coding

• Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. • Maintains a 95% coding accuracy rate as measured through quality reviews. • Conducts educational sessions to the medical staff for coding and documentation compliance. • Performs data entry of abstracted physician information into specialty-specific databases.

• Responsible for successfully coding all cases to the highest level of accuracy. • Ensure quality and productivity standards are met. • Escalate coding issues with the Coding Supervisor. • Review chart documentation for accuracy and completeness. • Communicate with Claims Resolution Specialists and Business Office staff. • Demonstrate knowledge of CPT, HCPCS, modifiers, diagnosis codes, and medical terminology. • Collaborate with providers to obtain complete documentation to support coding. • Monitor compliance with policies and procedures. • Identify process opportunity trends and recommend improvements. • Maintain current knowledge of coding guidelines and relevant regulations. • Participate in special projects, personal development training, and cross-training.