Presbyterian Healthcare Services

Medical Billing and Coding

• Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers
• Ensures adherence to Hospital and Departmental Policies and Procedures
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines

Pro Fee Multispecialty Coder II – PRN