|JOB DESCRIPTION: Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record (EPIC) for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity.
Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery and other ancillary services. Responsible for reviewing, analyzing and interpreting physician documentation, CPT and diagnosis coding, charge entry, TES edit maintenance and denial management for coding related tasks. Monitors medical records to ensure documentation complies with hospital and payer policies and regulations. Educate physicians on proper documentation techniques and improvement opportunities. Maintains working knowledge of payer specific coding guidelines, medical terminology, modifier usage, and NCCI edit conventions, as well as healthcare billing and reimbursement guidelines. Ability to translate operative notes into billable services. Maintain the knowledge necessary to navigate GE Centricity Business (GECB) and EPIC (EeMR) to efficiently perform tasks and meet production and quality standards. Works independently to resolve issues, applying root cause analyses to determine steps required for timely resolution. The ability to communicate effectively and professionally in interactions with physicians, management and staff. Must be able to work collaboratively and positively within a culturally diverse production environment. Maintains professional growth by participating in educational programs and professional organization to stay abreast of code changes, trends, practices and developments. Must meet all requirements to maintain coding certification. Perform other duties as required.
MINIMUM QUALIFICATIONS: A high school diploma or equivalent. Two years of professional coding experience. Knowledge of CPT and ICD-10 coding conventions. Coding certificate through nationally recognized organization (i.e.: AAPC, AHIMA) required: CPC, CCS, CCS-P, CPC-H, CCS-H, RHIA, or RHIT. Working knowledge of medical terminology, anatomy, and physiology. Proficiency with Microsoft Office. Preferred Qualifications: Knowledge of GE Centricity Business Practice Management System, and related modules. Knowledge of EPIC EeMR. Strong analytic skills. Computer Assisted Coding (CAC) knowledge.
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