Phelps Health

Medical Billing and Coding

• Assigns ICD-10-CM, CPT, and HCPCS Level II codes to completed and signed medical documentation creating an appropriate assigned medical claim.
• Abstracts specified data and information from patient records in order to determine appropriate modifiers for claim submission.
• Queries providers for clarification of documentation when unclear or inadequate in order to code accurately.
• Requests providers to complete addendums as necessary.
• Stays up-to-date with ICD-10-CM, CPT, HCPCS Level II, AMA, CMS and other federal, state, local, and Phelps Health-specific coding guidelines, rules, and regulations and applies those guidelines to all types of patient accounts.
• Abides by AAPC’s “Standards of Ethical Coding” and Phelps Health’s Corporate Compliance coding guidelines.
• Monitors providers documentation for timely completion.
• Notifies Coding Manager of any providers who fall outside the designated 73-hour turnaround time frame.
• Maintains the designated 3 business day time frame for coding completed records and provides weekly report summaries to Coding Manager.
• Maintain productivity standards as set forth by Phelps Health productivity matrix.
• Maintain annual certification through AAPC or AHIMA and completes required CEUs for certification maintenance.

Coder – IPT