Reviews the medical record of all outpatient, ancillary and ancillary recurring hospital encounters to determine the principal diagnosis and procedure and all appropriate secondary diagnoses and procedures
Using the International Classification of Diseases (ICD-9/10) and the Current Procedural Terminology (CPT) coding classification systems, assigns codes to all diagnoses and procedures following applicable coding principals and department guidelines; enters into the Epic Hospital Billing system for transmittal to billing system
Abstracts and codes all required clinical and demographic data for OSHPD (Office of Statewide Health Planning and Development), Quality Management, and Medical Staff; enters information into the Epic Hospital Billing system
Assigns ICD-9/ I-10 codes to the chief complaint of outpatient diagnosis accounts; enters into the Epic Hospital Billing system. Enters CPT codes, as appropriate
Reviews accounts for coding edits and corrects those edits
Maintains current knowledge of the most recent ICD-9-CM Official Guidelines for Coding and Reporting, the annual changes to the ICD-9 diagnosis and procedure codes, and the annual changes to the CPT procedure codes. Recognizing that we are in a period of change, the same would be expected for ICD-10 diagnosis and procedure coding, once implemented
Ensures that the coding units Weekly Accounts Receivable (WAR) goals are met, by meeting the productivity standards established for this position
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