Coding Specialist (31954)

Responsibilities

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
• Affords assistance in entering data from impatient facesheets including but not limited to demographics, insurance plans, etc.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
• Enters appropriate data into gPM by selecting the appropriate codes, diagnosis, modifiers, Anesthesiologist, CRNA, pathology, and provider information to complete the process.
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
• Maintains responsibility for ensuring the batch processes for all coded charges.
• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
• Collaborates with the Reimbursement staff to answer all inquiries regarding coding and billing for GI Alliance physicians' and pathology services.
• Works in coordination with other members of the Central Billing Office as necessary.
• Participates actively in problem identification and resolution and coordinates resolutions between appropriate parties.
• Performs other related duties as required and assigned.

Qualifications

• Education: High school diploma or GED completion is required.
• Certification: Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is required.
• Experience: Experience working with EMR and in medical coding preferred.