Coding Charge Entry Level 1

Log incoming encounter forms, verify required elements and appropriately code encounter            forms. Charge entry, run daily reports and verify accuracy.

ESSENTIAL JOB RESULTS:

1.  Log encounters received:

Verify encounters received, match the # send on the batch report, log count/suite/date received in Excel. Ensure that all suites are sending batched in on a daily basis. Is knowledgeable as to which supervisor to contact if procedure is not being followed. Maintains a working relationship with those supervisors.

2. Prepare encounter form for charge entry:

Check encounter forms for accuracy and completion, including code sequencing and provider’s signature. Check for diagnosis to back up procedures for maximum reimbursement. Check ICD-9/CPT links to ensure both medical necessity and appropriate reimbursement. Encounters in need of coding are done so using the appropriate ICD-9, CPT & modifiers that apply. Places completed folder into file cabinet for charge entry.

3.  Return encounters to suite:

When information is missing or unclear, log return item in Excel, send copy of encounter form and log sheet to appropriate suite. Enter those encounters marked for return into Next Gen using the zero diagnoses, and place insurance on hold. Maintain the return log in excel and ensure that all returns have been received and all correct information has been placed into Next Gen by the closing of the month.

4. Flow of batches:

Enter batches on an ongoing basis by date of service. After completion of batch runs, batch report out of Next Gen and ensure that total number of encounters entered is equal to the total on Next Gen report. Using the ADSC, run all appropriate reports and fixes all errors found. Place completed or fixed reports into batch and turn in to Closer.

5. Ensures department efficiency:

Maintain Excel file on a daily basis, has an adequate inventory supply, maintains a clean work area, attends all mandatory meetings, keeps abreast of new policies and procedures and changes in ICD-9 and CPT codes by attending monthly coding training meetings. Has the ability to multitask and maintain good attendance and punctuality.

6. Maintain quality standards:

Maintain minimum required scores on the on-going monitoring per the approved Coding compliance Plan.

7.  Contributes to Team Effort:

Accomplishing related results as needed, working closely with AR staff on denials relating to ICD-9 & CPT. Ensures that the closing of the month is accomplished in a timely manner, and complies with all facility policies and procedures including, but not limited to those addressing HIPAA and Compliance.

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

High School Diploma or (GED); One to three years experience in Medical  Front Office, data entry, ICD-9 and CPT coding experience desirable.

LANGUAGE SKILLS: 

Bilingual in English and Spanish preferred.

CERTIFICATES, LICENSES, REGISTRATIONS:

Completion with certificate of an approved coding class, ready and willing to take coding certification test; Goal of taking certification test within nine months, must have full certification within one year.

OTHER SKILLS and ABILITIES:

Knowledge of health insurance plans, computer literate, knowledge of contemporary electronic office technology.