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 documentation and reports for quality assessment, audit, and billing purposes.
Responsibilities
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), and other items (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.
- 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. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Minimum Education
- High
- School
- Diploma or
- GED
- Required
- Work
- Experience: 1 year Relevant experience.
- Required
- 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 Professional Coder Apprentice within 1 year Required or Certified Outpatient Coder Upon Hire Required or Registered Health Information Technician Upon Hire Required or Certified Home Care
- Coding
- Specialist -
- Diagnosis
- Upon
- Hire
- Required
- Courses and
- Training: Certified Home Care Coding Specialist-Diagnosis (CHCS-D) – Only required for VNA Home Health Services.
- Upon
- Hire
- Required
- Knowledge,
- Skills, and
- Abilities: Knowledge of ICD-10-CM, CPT-4, and HCPCS coding. Basic computer skills.
- Benefits
- Offered: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including
- DailyPay
- Expanded
- Paid
- Parental
- Leave
- For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
