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. Completes 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.
Duties include:
1. Codes office, hospital inpatient, outpatient, medical, diagnostic, procedural, emergency room and/or recurring records within established productivity coding accuracy guidelines.
2. Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, and coding denial management for coding related tasks.
3. Monitors medical records to ensure documentation complies with hospital and payer policies and regulations. Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit.
4. Assigns and sequences codes accurately based on medical record documentation. Assigns the appropriate discharge disposition as necessary.
5. Queries physicians when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding purposes; offers physician opportunity to submit corrected documentation. Educate physicians on proper documentation techniques and improvement opportunities.
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. Ability to translate operative notes into billable services.
8. Perform other duties as required.
MINIMUM QUALIFICATIONS: A high school diploma or equivalent. Two (2) years of professional coding experience and knowledge of Standards of Ethical Coding. 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 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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