JOB DESCRIPTION
Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing. Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding. Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations. Demonstrate the company s core values of respect, honesty, integrity, diversity, inclusion and safety.
RESPONSIBILITIES
- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and/or CPT-4 and HCPS coding where appropriate
- Audit, review, and correct claims with inaccurate or missing CPT or ICD-9 codes
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- Perform qualitative analysis of medical records for documentation consistency and adequacy
- Participate in audit of medical records to ensure appropriate use of ICD-9, CPT-4, and HCPCS coding to clinical documentation
- Assist with managing the CPT-4 and ICD-9 database within the Electronic Medical Record
- Evaluate processes within area of responsibility in order to recommend and participate in process improvement initiatives
- Assist supervisor in the development of policies and procedures for the department
- Assist supervisor in the development of ongoing education and training tools for the Data Entry Department
- Accountable for reviewing reports to identify trends for nonpayment and working with manager to rectify these issues
- Perform additional duties assigned
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
QUALIFICATIONS
Minimum
- High School Diploma or GED
- Strong understanding of industry/technical terms and processes
- Exceptional customer service skills
- Strong analytical and problem-solving skills
- Strong attention to detail
- Excellent oral/written communication skills
Desired
- Bachelor's Degree
- 2+ years medical coding experience