Performs CPT and ICD10 coding through abstraction of the medical record with a focus on more complex encounters and/or expertise with HCPCs procedural codes.
Reviews anesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters and codes appropriately.
Assigns appropriate CPT, ICD10 codes and modifiers with a minimum of 95% accuracy.
Ensures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports).
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 and information; attends meetings and educational roundtables.
Resolves pre-accounts receivable edits and identifies repetitive documentation problems and system issues.
Collaborates with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise and assist with appeals.
Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation and provides additional code and modifier information to assist with appealing denials.
Meets established minimum coding productivity and quality standards for each encounter type.
May perform other duties as assigned.
Requirements
CANDIDATE MUST HAVE ANESTHESIA CODING EXPERIENCE
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.
94% accuracy on organizations coding test.
Preferred: Bachelor's or Associate's degree in a Health Information Management program accredited by CAHIIM.