Performs CPT and ICD10 coding through abstraction of the medical record with focus on more complex encounters and/or HCPCs procedural codes
Reviews the medical record thoroughly and codes physician professional services and diagnosis codes including anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters
Follows Official Guidelines and rules to assign CPT, ICD10 codes and modifiers with minimum 95% accuracy
Ensures charges are captured by performing various reconciliations
Provides documentation feedback to physicians and trains physicians and other staff regarding documentation, billing and coding
Reviews and communicates new or revised billing and coding guidelines
Resolves pre-accounts receivable edits and collaborates with Patient Accounting, PB Billing, and other operational areas
Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation
May contact providers for peer-to-peer reviews
Meets established minimum coding productivity and quality standards
Requirements
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC) certification or Certified Coding Specialist (CCS)
Zero (0) to two (2) years of experience in a relevant role