Description
The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services.
Basic Qualifications
- High School Diploma or GED, required
- CPC, CPC-H, CIC, COS or CCS, or other coding certification required
- 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required
- Experience coding emergency or hospital ancillary services, preferred
- Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred
- Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook), required
- Proficiency with patient accounting systems, preferred
- Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred
- Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred
- Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required
- ICD 10 Training/Education
- Position requires fluency in English; written and oral communication
Essential Job Functions
- Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes
- Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing
- Abstract and code diagnoses and procedures from health records by using appropriate classification systems
Other Job Functions
- Attend staff meetings or other company sponsored or mandated meetings as required
- Perform additional duties as assigned
- Ability to work off hours and overtime
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