Summary:
Performs basic accurate timely charge and code entries. Uses ICD-10 and CPT-4 books and online references to appropriately identify codes and billing modifiers.
Responsibilities:
1. Translates narrative information from billing encounter forms and orders into ICD-10 and CPT-4 codes.
2. Uses electronic medical records and multiple systems to identify diagnosis and procedure codes. Identifies and resolves discrepancies on charge slip or charge (billing) report by referencing medical record.
3. Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%.
4. Researches and resolves charging and medical necessity edits.
5. Independently reconciles charges for areas of responsibility. Uses patient schedule together with billing slips to identify missing charges. Researches and resolves discrepancies so charges keyed reflect services delivered.
6. Attends and participates in required hospital education programs to maintain and enhance their coding skills and stay abreast of changes in codes coding guidelines and regulations.
7. Uses appropriate accurate communication techniques when addressing billing barriers.
8. Exhibits strong competency in use of all computer systems and applications that are commonly used for position.
9. Achieves the organizations established expectations regarding customer service teamwork and safety.
10. Fulfills all compliance responsibilities related to the position.
11. Performs other duties as assigned.
Other Information:
Required: Data entry MS Word MS Excel skills. Experience in charge capture process or medical record review. Strong verbal and written communication and analytical skills. Documented proficiency in use of ICD-10 and CPT-4 coding as required by position. Knowledge of how to accurately use ICD-10 and CPT-4 books. Sound knowledge of basic code structure is required.
Requirements:
Working Conditions:
Manual: significant manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 2070
Department: Coders
Exempt: No
Salary Range: $21.49 - $41.73 Hourly
Required Experience:
IC
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