Reviews medical documents from clinics and hospital to ensure complete and accurate coding of all diagnoses and procedures. Direct coding and billing of office services and procedures and physician hospital procedures. Provides assistance to the clinic billing office staff and other departments for coding issues.
DUITES & RESPONSIBILITIES:
Reviews medical documents from clinic and hospital to ensure complete and accurate coding of all diagnoses and procedures
Accurately codes all inpatient and outpatient diagnoses and procedures according to ICD-10-CM, CPT, APC, enter IV, IM injections and Observation hours.
Codes all available records within three days post discharge.
Confers with or queries attending physicians to determine the principal diagnosis and appropriate sequencing of other diagnoses and procedures, as needed.
Direct coding and billing of office services and procedures and physician hospital procedures
Provides assistance to the clinic billing office staff and other departments for coding issues
Assists Collectors in reviewing and resolving claim issues as needed.
Analyzes medical record data in EMR to determine appropriate diagnostic and procedural codes.
Communicates clinics to solve problems and educate others relating to coding issues.
Other duties as assigned.
Minimum 3 years direct experience in medical coding of cardiology services including invasive, interventional, electrophysiology, and peripheral procedures
Physician billing office experience a must
Knowledge of medical terminology, anatomy and physiology
Working and thorough knowledge of medical coding, CPT, HCPCS II, and ICD10
Ability to enter and bill charges in a timely manner in a high volume practice setting
High degree of detailed focus, decision making abilities and independent judgment
Excellent organizational and communication skills
Computer skills required
Working knowledge of Practice Management applications necessary
Proficient with MS Word, Excel and Outlook applications
Basic knowledge of Cardiac, Thoracic or Vascular Surgery a plus
Should be able to review and audit documentation for process improvement
Completion and certification from a certified coding program
High school diploma or GED required.
Minimum of 3 years experience in hospital or clinical billing or coding.
Current Coding certification required.
Understanding of billing and/or collections in a healthcare setting.
Detailed knowledge and understanding of government pay methodologies (Ambulatory Payment Classification, NCCI/OCE edits).
Implantable Cardioverter Defibrillator
Medical Billing And Coding
Electronic Medical Record
Icd 10 Medical Classification