General Summary
Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record 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) and procedure codes (CPT) for final billing.
- Researches and processes 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.
- Adheres to WellSpan Coding Compliance Guidelines.
Common Expectations:
- Maintains job specific standards and expectations relative to productivity and quality.
- Prepares and maintains appropriate documentation as required.
- Maintains professional growth and development.
- Attends meetings as required.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
