This position is responsible for reviewing and assigning appropriate ICD-9, ICD-10 and CPT codes to incoming work (services rendered by providers.), thereby maximizing reimbursement received from third party payors. This position is responsible for physician/staff education based upon EVMS Medical Group Compliance Guidelines, HCFA Teaching Physician Guidelines, coding guidelines and results of chart audits. Responsible for conducting internal departmental mini-audits to ensure inpatient and outpatient medical records contain sufficient documentation to justify the frequency and type of services being billed to carriers and patients.
Associates degree plus 4 years’ experience working with CPT, ICD-9 & ICD-10 coding in a hospital or physician office preferred. Current CPC certification or ability to sit for the test and acquire certification within 6 months is required and certification must be maintained annually thereafter.