Description

Description Responsible for office, out-patient, and inpatient physician coding. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of revenue. Responsibilities Implements and manages outpatient and provider coding process for inpatient and outpatient physician services. Validates and determines appropriate coding levels by obtaining and reviewing clinical documentation. Compares and reviews charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and related services have been accurately documented and captured. Ensures that documentation supports charges to prevent denials/underpayments and to ensure adherence to compliance standards. Follow-up on missing charge tickets and clinical documentation as appropriate. Develop educational materials and policies/procedures to assist providers with the new regulatory or payer policies. Identifies and assists with implementation of documentation and revenue enhancement opportunities. Collaborates with clinical staff to identify and implement appropriate documentation and coding modifications. Reviews and distributes coding related information to clinical staff, including CPT and ICD-9 ...