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SalarySCOPE/GENERAL PURPOSE OF JOB:
The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. Communicate with your direct manager as needed (i.e. schedule changes, daily assignments/work volume, coding questions, etc.)
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific client assignment.
- Demonstrates thorough understanding and ability to research all aspects of coding, compliance, documentation and reimbursement for assigned clients and specialties.
- Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
- Ensures diagnosis codes meet local and national medical necessity guidelines.
- Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services.
- Maintains and delivers accurate client worksheets and deliverables.
- Must maintain accurate records of time spent.
- Monitors clients for potential compliance concerns and communicates concerns with leadership.
- Demonstrates the technical competency to use the facility encoder as it interfaces with the hospital/physician mainframe and/ or EMR in remote setting.
- Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
- Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
- Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
- Must meet all coder productivity and quality goals.
- Maintain a 95% accuracy rate.
- Other duties as assigned.
