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, data input of encounters in the practice management system, resolving edits and denials, and releasing encounters for billing. Utilizes advanced problem-solving skills to address coding related tasks of high complexity. Requires advanced knowledge of all coding workflows including coding for surgical procedures for multiple specialties.
Duties include:
1. Responsible for capturing services, reviewing physician documentation, CPT and ICD-10 coding, claim edit resolution, and coding denial management of coding related tasks. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines.
2. Assumes full responsibility for the charge capture, coding and charge entry of all assigned surgical cases into the practice management system.
3. Able to translate operative notes into billable services. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding.
4. Monitors medical records to ensure documentation complies with hospital and payer policies and regulations.
5. Educates physicians on proper documentation techniques and improvement opportunities. Collaborates with physicians to ensure timely completion of attestations in the medical records.
6. Maintains working knowledge of payer specific coding guidelines, medical terminology, modifier usage, and NCCI edit conventions, as well as healthcare billing and reimbursement guidelines.
7. Maintains the knowledge necessary to navigate GE Centricity Business (GECB) and EPIC (EeMR) to efficiently perform tasks and meet production and quality standards.
8. Assists manager in training of subordinate coders and serves as the point person/lead for employee questions.
9. Works independently to resolve issues, applying root cause analyses to determine steps required for timely resolution. Able to communicate effectively and professionally in interactions with physicians, management and staff.
10. 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.
11. Must meet all requirements to maintain coding certification.
12. Perform other duties as required.
MINIMUM QUALIFICATIONS: A high school diploma or equivalent. Four years professional coding experience. Two years of experience must be in a Surgical/Ancillary Diagnostic discipline or 1 year of experience with specialty coding certification in a Surgical/Ancillary Diagnostic discipline. Extensive knowledge of CPT and ICD-10- CM coding principles and 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. Preferred Qualifications: Knowledge of GE Centricity Business Practice Management System, and related modules. Knowledge of EPIC EeMR. Strong analytic skills. Proficiency with Microsoft Office. Computer Assisted Coding (CAC) knowledge.
PREFERRED QUALIFICATIONS: Knowledge of EPIC EeMR. Strong analytic skills. Computer Assisted Coding (CAC) knowledge. AAPC or AHIMA accredited coding certificates preferred. |
Emory is an EEO Employer-Disability/Veteran. Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. |
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