PRINCIPAL ACCOUNTABILITIES:
· Assures the final diagnoses and operative procedures as stated by the providers are valid and complete.
· Analyzes medical records for completeness and validity of documentation and contacts providers for clarification of any incomplete, ambiguous, or conflicting documentation.
· Codes charges for assigned departments such as Internal Medicine, Surgery, Ophthalmology, OB/GYN, and Pulmonary.
· Performs accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10-CM, CPT, and HCPCS codes.
· Translates written policy interpretation into ICD-10-CM, CPT, and HCPCS codes for input into systems.
· Translates legislative mandates into ICD-10-CM, CPT, and HCPCS codes for input into systems.
· Collaborates with providers in assigned areas and provides feedback to management regarding documentation issues or recurring errors.
· Utilizes software applications and information systems to perform tasks related to patient encounters and/or services.