Responsible for accurate and timely coding of hospital inpatient, outpatient and/or professional fee encounters using ICD10/ICDPCS, CPT, or HCPCs codes
Responsible for understanding and applying all regulatory coding guidelines
Develops methodology for a coding process compliant with regulatory agencies
Facilitates optimization of revenue while maintaining compliance standards
Serves as an expert resource regarding various coding systems and regulatory guidelines
Reports documentation and coding improvement needs based on review findings
Performs provider and peer coding audits as requested
Monitors internal controls for coding and billing
Requirements
High School Diploma or G.E.D
Certified Professional Coder (CPC) from AAPC
Certified Outpatient Coder (COC) from AAPC
Certified Inpatient Coder (CIC) from AAPC
Certified Coding Specialist
Physician-Based (CCS-P) from AHIMA
Certified Coding Specialist (CCS) from AHIMA
Registered Health Information Technician (RHIT) from AHIMA
Registered Health Information Administrator (RHIA) from AHIMA
Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines
Ability to work with others collaboratively and communicate efficiently both orally and in writing
Knowledge of medical science, anatomy, and physiology required
Ability to perform computer data entry
Experience with encoders or other coding software packages preferred.