Under general supervision, collects, reviews, retrieves and codes Evaluation & Management codes, Anesthesia, Pathology and minor procedures based on data from medical records and reports for quality assessment, audit and billing purposes.
Duties and Responsibilities:
1 Performs chart audits, reviewing for accuracy and compliance.
2 Reviews physicians dictation, operative reports and other documentation and assigns appropriate diagnosis and procedure code (ICD-10 and CPT) for final billing.
3 Research and process invoice corrections.
4 Reviews and analyzes coding/billing procedures.
5 Presents training and feedback concerning medical coding, compliance and reimbursement to physicians/providers.
6 Coordinates and implements reimbursement improvement activities with staff and providers.
7 Meets WellSpan Coding Compliance Guidelines.
High School or G.E.D. required
Certified Procedural Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) through AAPC or AHIMA Required
6 - 12 months experience in coding required
Knowledge of ICD-9-CM, ICD-10-CM, and CPT-4 coding; basic computer skills
Wellspan Health System