Codes predominantly Ancillary records (diagnostic testing: Laboratory, Radiology, etc) in accordance with all regulatory guidelines. Responsible for assigning ICD-10 diagnosis and procedure codes when applicable. Receives and reviews Outpatient reports on a daily basis (unbilled accounts, LCDs) to identify and correct accounts held for edits or missing information to identify and correct accounts held for edits or missing information. Codes information provided by referring physician for outpatients for the purpose of reimbursement. Verifies appropriateness of ICD-10 codes with CPT codes and / or charges. Refers identified issues to appropriate charge generating departments as appropriate. Is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors, etc.
Must read, write and speak English. High school diploma or equivalent. Knowledge and experience of ICD-10-CM and CPT coding with 1 year of coding experience preferred. Completion of the following courses required: Medical Terminology, Human Anatomy and Physiology and Disease Process. Completion of the following courses preferred: Pharmacology and Pathology. Knowledge of Ambulatory Payment Classifications (APCs) and Local Coverage Determinations (LCDs) preferred.--AAS degree or clinical background preferred. Licensure/Certification/Registration: Must have CCA or above coding credential. Must obtain CCS, CPC or CCS-P within 2 years of employment.--Successful completion of on-site personnel general orientation.