Review medical record documentation to ensure accuracy, completeness, specificity and appropriateness of assign code sets for ICD-9 CM. ICD-10 CM diagnosis, CPT-4 and HCPCS codes in EMR and/or manually.
Essential Functions - Duties & Responsibilities: Tasks may include, but are not limited to the following:
Sequence the diagnosis and procedures using the coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for facility and/or professional charges.
Maintain entries into tracking logs for coding completion and any discrepancies found during review of documentation are reported to Senior Coder/Auditor.
Other duties as assigned.
Qualifications & Requirements:
High School Diploma or GED equivalent
CPC/CCS
Minimum of 3-5 years experience in multi-specialty coding in a healthcare environment
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD9CM, ICD-10 CM, CPT4 and HCPCS coding guidelines to surgical and outpatient diagnoses and procedures.
Maintain a thorough understanding if medical record practices, standards, regulations, Accreditation Association for Ambulatory Health Care (AAAHC), Center for Medicare and Medicaid Services (CMS),and the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) Code of Ethics.
Demonstrates problem-solving abilities
Must have proficient computer skills
Must be able to work in a fast-paced while being exceptionally organized
Must be able to multi-task
Must have excellent customer service skills
Must have superior interpersonal and communication skills
Laser Spine Institute - 10 months ago
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