Job Summary Assigns and sequences ICD-9/ICD-10/CPT/HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Codes complex accounts which requires advanced expertise in coding subject matters.
Assigns and sequences ICD-9/ICD-10/CPT/HCPCs diagnostic and procedural codes for inpatient or multiple outpatient accounts such as (same day surgery, endoscopy, ED/Trauma, breast health, or other more complex patient type) within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy and makes corrections following Medicare & AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Assigns DRGs as applicable. Codes complex accounts. Utilizes advanced coding knowledge for specific coding subject matters. Addresses NCCI, OCE, LCD, and other applicable coding edits.
Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD and CPT code selection.
Maintains weekly communication with providers to ensure timely notification of identified trends that might impact revenue or compliance. Educates assigned providers on appropriate coding and documentation and provide supporting documentation to enhance awareness and corrections needed for accurate coding
Assists Patient Financial Services with interpretation and selection of appropriate ICD/CPT codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters
Performs outpatient charge validation/ reconciliation to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable.
Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
Internal Number: 2018-7306
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Develop professionally and achieve your career goals
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Enjoy a compassionate, caring culture with outreach to our local communities
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Welcome to HonorHealth.
We are a non-profit, local healthcare organization known for community service and outstanding medical quality. Our organization encompasses five acute care hospitals with approximately 10,500 employees and 3,100 volunteers, urgent care centers, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.