PFS - Coder I FT

Principle Duties And Responsibilities

• Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPCS codes.
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Knowledge and understanding of how to properly code using medical coding books.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Ensure that all codes are current and active.
• Adequately responds to coding questions and provide clarification to colleagues.
• Develops and maintains appropriate communication with clinics.
• Appropriately refers all non-routine issues to management for clarification.
• Re-code and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• Maintain accuracy and timeliness in following up on all documentation and coding tasks.
• Monitor CPT's and Diagnoses to assure they are coded correctly prior to billing.