Coder III - Cardiology

General Summary

Collects, reviews, retrieves, and codes Evaluation & Management codes, major procedures (including surgical procedures, anesthesia reports, and radiology reports/procedures), and other services for medicine/surgical practices based on data from medical records and reports for quality assessment, audit, and billing purposes.

Duties and Responsibilities

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes (CPT-4), and other services (HCPCS) for final billing.
• Researches and processes invoice corrections.
• Reviews and analyzes coding and billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Meets WellSpan Coding Compliance Guidelines.

Common Expectations

• Maintains job-specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Provides outstanding service to all customers, fosters teamwork, and practices fiscal responsibility through improvement and innovation.