Job Description

Qualifications:
- Outpatient Coder who can code all Hospital services
- RHIA, RHIT, CCS, or COC Certification

Job Descriptions:
• Review clinical documentation in order to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
• Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
• Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
• May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
• Provides coding feedback to providers, clinical department leadership, and revenue cycle team
• Assist coding educators with education regarding documentation improvement
• Escalate coding and documentation issues to revenue cycle leadership, and assist in facilitating corrective action plans
• Assists with design and implementation of workflow updates and coding tools
• Support the denial team on coding-related denials
• Special projects as assigned

 

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