Responsibilities
- Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services).
- Assigns appropriate CPT and ICD9 codes.
- Completes coding and billing worksheet.
- Ensures charges are captured by performing various reconciliations (procedure schedules, clinical system reports, fatal edit reports).
- Provides documentation feedback to physicians.
- Maintains coding reference information.
- Trains physicians and other staff regarding documentation, billing and coding.
- Reviews and communicates new or revised billing and coding guidelines and information.
- Attends meetings and roundtable, communicates pertinent information to physicians and staff.
- Resolves pre-accounts receivable edits, monitors reasons for missed billing opportunities, maintains non-compliance logs, identifies repetitive problems, works with physicians to resolve.
- Deletes incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers.
- Drafts letters and coordinates appeals.
- Works with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (operative reports, etc.).
- Provides invoice disposition instruction.
- Provides additional code and modifier information.
- May perform other duties as assigned.
