Job Description
Job Description
General Summary
Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately and timely. Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Analyzes and interprets patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services.
Utilizes advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing, codes, in compliance with third party payer requirements.
Reviewing medical records and determines appropriate charges.
Interacts with providers and other medical professionals regarding billing and documentation policies, procedures and regulations. Obtains clarification of conflicting, ambiguous or non-specific documentation.
Monitors billing for optimal reimbursement while adhering to all insurer regulations regarding the prohibition of unbundling and other questionable practices.
Assists in working the coding denial work queue to resolution, with the primary focus of ICD-9 coding.
Attends coding conferences, workshops and in-house educational sessions to receive updated coding information and changes in coding or regulations.
Job Tags
Part time,