Under the general direction of the Executive Director, this specialist is responsible for accurate assignment of ICD-10 and CPT-4 codes, utilizing the appropriate clinic data and documentation in the patient medical record. Performs ongoing medical record reviews (clinical pertinence) to assess completeness of information and provider educational needs. Works with physicians and professional staff to obtain any necessary clarification concerning diagnosis and procedures. Assists in training and orienting new employees to the work area, schedules, policies and procedures. Understanding of coding and reimbursement guidelines is required. This person requires little supervision and performs all work independently, with a high degree of autonomy. All work is carried out in accordance with the department's approved policies and procedures. This position is an advanced level technical position within CHA Administration.
1.Correctly assigns diagnosis and procedure codes according to the appropriate classification system for that category of patient encounter. Adheres to all coding, governmental and private Third Party rules and regulations. Abstracts and reviews medical record documentation for consistency of clinic data.
2.Responsible for maintaining knowledge of all current and new coding rules and guidelines.
3.Collaborates with the Director, physicians, colleagues, Compliance Department and external entities to further the mission of the CHA organization.
4.Facilitates and collaborates physician education, coding policies and procedures with the Compliance Department.
5.Analyze reports and participates in summarizations as it pertains to the organization.
6.Promotes public relations through prompt and courteous service.
7.Fosters respect for patient privacy by maintaining confidentiality in all phases of work.
8.Performs those duties necessary to ensure all accounts are processed accurately and efficiently.
9.Abides by standards of ethical coding and adheres to official coding guidelines.