Description

Description The FPA Facility Fee Coding Specialist reviews clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 CM and CPT – 4 codes for billing, internal and external reporting, research and regulatory compliance. This individual accurately codes outpatient (i.e., diagnostic, therapeutic, ambulatory surgery, emergency room, express care and observation service encounters), conditions and procedures as documented in ICD-10-CM Official Guidelines for Coding and Reporting and AMA CPT Guidelines. Provides information and direction relevant to coding to physicians. A participant in coding document review and staff training; reports to the Director of Coding and the Vice President of FPA CBO. Responsibilities Upon review of patient medical records, assigns ICD-10 and CPT (Current Procedural Terminology) codes for diagnoses, treatments, surgical and non-surgical procedures for facility services rendered. Assesses support documentation. Provides written reports to supervisor or manager with audit results. Documents any coding deficiencies noted. Reviews, modifies and recommends changes to policies, procedures, EPIC templates and encounter forms ...