Job Description

Purpose:
Same responsibilities as a Coder I. Review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, determine level of acuity, procudure(s) performed, billable supplies and diagnosis to substantiate medical necessity. Review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution.

Responsibilities:
 

  • Utilize computer applications and resources essential to completing the coding process efficiently.
  • Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation an...

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