EVMS

  • Coding Specialist

    Position Number
    6771401
    Department
    Internal Medicine
    Category
    Clinical
    Compensation Max
    USD $57,093.00/Yr.
    Compensation Min
    USD $43,918.00/Yr.
    Location : Location
    US-VA-Norfolk
  • Overview

    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.

    Responsibilities

    • Conduct regular coding education and training classes for providers and staff.
    • Make recommendations on implementing procedures for compliance within the department setting.
    • Develop Department compliance, coding, and billing policies and procedures based on the EVMSMG Compliance Plan and the HCFA Teaching Physician and Resident Guidelines.
    • Enter inpatient and outpatient charges adhering to carrier regulations.
    • Provides feedback to management as to problem areas and when proper information cannot be obtained from providers.
    • Responsible for staying abreast of insurance carrier regulation changes and informing providers, management, and staff of such changes.
    • Ongoing review of compliance, coding, and billing, literature and guidelines effecting academic medicine and surgery practice.
    • Researches and assign the appropriate CPT/ICD-9 & ICD10 code based on the provider’s dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
    • Audits and reviews the appropriateness of the CPT, ICD-9 and ICD10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
    • Functions as liaison between the providers and EVMS Medical Group Billing Office to communicate and/or educate regarding the appropriate use of the procedural and diagnostic coding process.
    • Completes and follows up on missing Information from providers when the information provided does not support the services rendered.
    • Performs other duties as assigned.

    Qualifications

    Associates degree plus 4 years’ experience working with CPT, ICD-9 & ICD-10 coding in a hospital or physician office preferred. Current CPC certification required and certification must be maintained.

    Location : Location

    US-VA-Norfolk

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