p>Responsibilities: • Review medical record documentation to assure services are billed with the appropriate diagnosis and procedures • Assign the appropriate ICD-10 diagnosis, CPT, and HCPCS procedure codes as documented for accurate claim submission • Assign appropriate modifiers to bill appropriately for all services provided • Utilize revenue management software to identify and resolve coding and claim edits • Abstract data from clinical documentation in the electronic health record and assigns classification codes in accordance with Federal, State, and organizational guidelines • Review edits in Epic, including an understanding of HSCRC guidelines and correct coding and applying those rules to ensure claims are billed appropriately • When coding ASC accounts, work with departments in the hospital and health system to identify missing charges and charges billed in error • Queries physicians as needed, clarifying documentation to ensure accurate code assignment • Support all uses of coded data • Organizes and prioritizes work to meet deadlines and goals • Maintains and expands knowledge of coding and sequencing guidelines to ensure compliance and accuracy.
Requirements:
• High school diploma or GED required • Associates or higher degree in health information management or healthcare related field preferred • Active approved coding credential from AAPC or AHIMA upon hire • Successful completion of Outpatient Coding Specialist II diagnosis and CPT coding pre-employment assessment upon hire • Three (3) years coding experience for hospital facility and/or Ambulatory Surgery Centers.