Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases.
Job Responsibilities:
Ensures that patient records are accurately coded utilizing ICD-9-CM and CPT codes and guidelines. Efficiently utilizes computerized coding/abstracting equipment.
Reviews patient chart thoroughly to ascertain all diagnoses/procedures. Contacts responsible physician in a professional, tactful manner, if diagnosis is not available on chart.
Coder's diagnoses and procedures on clinical summary agree with physician's preference 100% of the time. Refers chart to doctor if there is a question regarding the diagnoses/codes.
Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.
Acts as a resource person to clinic staff for coding and may provide education regarding coding changes/issues.
Maintain current knowledge of Medicare changes and updates.
Assists in the effective and efficient operation of the medical practice.
Work insurance denials to help billing department.
Maintains CONFIDENTIALITY of all pertinent patient care information to assure patient rights are protected. Releases information in accordance with established policies.
Does not have unauthorized overtime, arrives on time, leaves on time and has few unscheduled absences.
Respects diversity of each individual (patients, visitors, vendors, co-workers).
Coder accredited certification required. Must obtain BLS within 60 days of hire.

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