Responsibilities
- Extracts and assigns codes for physician services and diagnoses across inpatient, outpatient, and diagnostic settings
- Applies correct CPT and ICD9 procedure and diagnosis codes
- Fills out coding and billing documentation accurately
- Verifies charge capture by comparing data from procedure schedules, clinical systems, and edit reports
- Offers feedback to physicians on documentation quality and completeness
- Keeps coding resources and references current and accessible
- Educates medical and administrative staff on proper documentation, coding, and billing practices
- Stays current with updates to coding standards and shares changes with relevant teams
- Attends clinical and administrative meetings to share coding and billing updates
- Addresses pre-billing system edits, tracks lost revenue causes, logs compliance issues, and collaborates with providers to fix recurring errors
- Removes erroneous charges, adds missing services, supplies omitted data, and revises incorrect CPT and ICD9 codes and modifiers
- Prepares appeal letters and manages submission processes
- Collaborates with revenue cycle and inquiry resolution teams to secure necessary clinical documentation
- Directs how invoices should be processed or adjusted
- Supplies additional coding details such as modifiers when needed
- Performs additional tasks as directed by management
Work Arrangement
Full-Time
