September 20th 2021
Accurately assigns diagnosis and procedure codes in accordance with established department policies, procedures, and productivity standards. Assigns diagnosis and procedure codes using current version ICD and CPT-4 classification systems in compliance with professional practice and facility coding guidelines by reviewing health records to ascertain all appropriate procedures on outpatient and inpatient performed.
Coder will review documentation in EPIC to verify if the physician code selection meets the requirements for the CPT and ICD 10 codes indicated. Any clarification or recommendation for changes are sent to the physician/provider prior to making any changes to the physician/provider selection.
Daily review of surgical coding claims worklist related to custom coding rules, global rules and or coding related kick codes feeding back to the physician/provider necessary or recommended changes prior to making certain changes in claims updates.
Analyzes provider documentation to assure the appropriate evaluation and management (E&M) levels are assigned.
Accurately and efficiently access practice and hospital information system to secure and assemble all necessary physicians’ records to accurately code services for billing.
Certified Professional Coder accreditation required.
Require minimum one year of experience coding surgical services and prefer pediatric surgery experience.
Experience working with one or more insurance payors, including third party and commercial insurance.
Job Type: Full-time