Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services). Assigns appropriate CPT and ICD9 codes. Completes coding and billing worksheet. Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit reports). Provides documentation feedback to physicians. Maintains coding reference information. 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 roundtable, communicates pertinent information to physicians and staff. Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve. Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Drafts letters and coordinates appeals. Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.). Provides invoice disposition instruction. Provides additional code and modifier information. May perform other duties as assigned.
- 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' experience in a relevant role.
- 94% accuracy on organization's coding test.
- Bachelor's degree or Associate's degree in a Health Information Management program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).
- Previous experience with physician coding.