Accurately codes and sequences diagnosis and procedures according to coding guidelines, abstracting accurate clinical information for optimum reimbursement.
Reviews documentation to determine the diagnosis and procedures performed. Assigns charge master codes and modifiers for appropriate billing and sequencing. Uses multiple information systems to select the correct patient account to enter billable charges. Participates in audits to capture lost charges and verify accuracy of billing and coding. Maintains active contact with staff and providers to address missing or inaccurate documentation and resolve billing issues. Communicates and collaborates with healthcare providers, compliance, and coding teams regarding documentation changes to maximize reimbursement.
Demonstrates professional growth by developing educational objectives to maintain coding knowledge and regulatory compliance. Plans and implements continuing education to meet certification requirements (CPC, COC, CCS, CCS-P, RHIT, RHIA). Maintains knowledge of national NCCI coding standards, JCAHO, CMS, ICD-10 CM/PCS, CPT-4, and HCPCS. Provides feedback and education on coding updates. Analyzes documentation trends for feedback to staff and providers to increase capture of billable items.
Follows policies, procedures, and regulatory requirements, including OSHA, CMS, and Joint Commission. Participates in corporate and departmental safety and quality activities. Performs other assigned duties as needed.
Certification such as CPC, COC, CCS, CCS-P, RHIT, or RHIA is expected or in progress. Knowledge of ICD-10 CM/PCS, CPT-4, HCPCS coding systems. Familiarity with national NCCI coding standards, JCAHO, CMS regulations. Strong organizational skills, self-motivation, flexibility. Ability to collaborate effectively with healthcare providers and staff. Experience in auditing and charge capture preferred.
Location
Iowa, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago