Laredo Technical Services, Inc.

Medical Billing and Coding

• Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems
• Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external
• Interacts with MTF staff to ensure documentation is clear and supports coding assignments
• Educates MTF staff through individual or group in-services and training sessions
• Maintains a delinquency report of missing records in order to facilitate completion of work within the required thresholds
• Works closely with the Coding Supervisor/auditor during audit process
• Ensures all required component parts of the medical record that pertain to coding are present, accurate and compile with DoD and JCAHO requirements
• Works with Coding Compliance-Editor software to ensure records are accurately coded
• May also be responsible for the assignment of accurate ICD diagnoses, CPT and HCPCS, modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (IPPS encounters - a.k.a, rounds)
• Perform focus audits as designated by the MTF
• All audit spreadsheets are submitted to the supervisor weekly without discrepancies as required
• Submit monthly report on activities done for the month, e.g. audit results, training provided and feedback as required by the MTF
• Must attend scheduled coding and auditing meetings and trainings as required by the MTF
• Other duties as assigned

Certified Medical Coder, Ambulatory Procedure Visit (APV)