Coder Professional Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing EM code level selection auditing tool., Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and
ancillary staff members about documentation needed for coding process. Contacts physician offices and/or SBL departments as needed for diagnostic information to code the encounter., Assists with training new coding staff as requested., Codes all types of encounters as assigned and assists co-workers as needed., Codes and resolves clinic, hospitalist, ED, and applicable ancillary services professional encounters based on established production standards., Ensures data quality and optimum reimbursement allowable under the federal and state payment systems., Meets quality standards of having 95% of diagnoses and procedures appropriately and/or correctly coded., Performs follow-up on encounters that need to be coded and resolved., Reviews and corrects all encounters that are rejected or denied., Reviews record thoroughly to ascertain all diagnoses/procedures. Codes all diagnoses/procedures in accordance to ICD-CM and CPT coding principles, official guidelines and regulations. AS (Required), High School (Required) CCS - Certified Coding Specialist - American Health Information Management Association, Certified Professional Coder - Sarah Bush Lincoln