La Paz Regional Hospital

Medical Billing and Coding

• Accountable for conversion of outpatient diagnoses and treatment procedures into codes using an international classification of diseases, and HCPCS codes based on documentation in the patient’s record, are coded accurately and in a timely manner.
• Reviews and validates all diagnoses/procedures stated by physician and other healthcare providers.
• Ensures that records are coded within 48 business hours of discharge.
• Notifies director whenever work is more than 48 hours behind work deadline.
• Meets productivity standard of assigning codes to a minimum of 25 charts per hour.
• Partners with charting physician if diagnosis is not transcribed to assure all required documentation is presented to meet compliance accuracy in coding and severity of illness is charted and coded.
• Codes diagnoses and procedures on based on documented information in the patient’s record that agree with physician’s preference 90% of the time.
• Utilizes computerized coding/abstracting equipment.
• Codes outpatient for diagnoses/procedures in accordance with international classification of diseases and HCPCS coding principles and the Coding Manual.
• Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded.
• Maintains 99% rate of information correctly abstracted.
• Reviews coding periodicals within 7 days of receipt.
• Maintains credential continuing education as per credential held.

Coding Specialist – Clinics