Responsible for abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records and documents to support physicians' professional fees, including but not limited to outpatient evaluation and management (E/M) services and procedures in accordance guidelines.
Position Responsibilities:
• Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers.
• Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing.
Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants.
• Analysis of the medical record to determine the appropriateness of coding and potential patterns of abuse.
Including working with the Coding/Charge/Audit Analyst(s) to resolve the issue(s).
Position Qualifications Required / Experience Required:
Minimum of two years records coding experience or equivalent.
Ability to perform functions in a Microsoft Windows environment.
Ability to be detailed oriented and perform tasks at a high level of accuracy.
Ability to make sound decisions.
Demonstrate good communication and teamwork skills.
Previous experience with an electronic legal health record system preferred.
Knowledge of Anatomy & Physiology/ Medical terminology required.
Required Education:
High School Diploma or GED required.
Knowledge of Anatomy & Physiology/ Medical terminology required
CPC (Certified Professional Coder) Certified required or must obtain within six months of hire.