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Position Summary
Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines.
Researches and takes appropriate action on any coding/claim edits.
Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits
Principal Accountabilities
Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.
Licenses and Certification
RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.
Experience and Skills
Technical Experience: o Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours).
Role Specific Responsibilities
Follows all coding policies, procedures, standard operating procedures
Effectively uses encoding software and reference materials to assign appropriate codes.
Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines.
Non – provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines
Reviews coding edits and accurately resolves so encounter can be sent to claims.
Sends clear, respectful communications to provider in basket or queries when additional information is needed before finalizing coding.
Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity
Performs work que duties as assigned by Coding Lead/Supervisor/Manager.
Maintains coding quality and productivity standards
Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required.
Maintains required CEU’s
Compensation (Commensurate with experience):
$22.74 To
$35.25 To access our Benefits Guide/Plan Information, please click the link below:
