Assigns and sequences ICD-9 / ICD-10 / CPT / HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.
Codes complex accounts which requires advanced expertise in coding subject matters.
Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines.
Utilizes electronic medical record and computer-assisted coding (CAC) software. Assigns DRGs as applicable. Codes complex accounts.
Utilizes advanced coding knowledge for specific coding subject matters. Addresses NCCI, OCE, LCD, and other applicable coding edits.
Reviews and analyzes medical records for accurate ICD and CPT code selection.
Educates assigned providers on appropriate coding and documentation and provide supporting documentation to enhance awareness and corrections needed for accurate coding
Possesses knowledge and understanding of failed bill parameters
Assigns charges as applicable.
Internal Number : 2018-15608