Coder III - Cardiovascular - Day

General Summary

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes.

Duties and Responsibilities

Essential Functions:

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes ( CPT-4), and other services (HCPCS) for final billing.
• Research and process invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Meets WellSpan Coding Compliance Guidelines.

Qualifications

Minimum Education:

• High School Diploma or GED Required

Work Experience:

• 3 years Relevant experience. Required
• Any experience in Surgical Coding a major plus

Licenses:

• Certified Professional Coder Upon Hire Required or
• Certified Coding Specialist - Physician Based Upon Hire Required or
• Certified Medical Coder Upon Hire Required or
• Certified Outpatient Coder Upon Hire Required

Courses and Training:

• A Specialty Coding Certification. Upon Hire Required

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.
• Basic computer skills.