Codes predominantly Emergency Department and ED Observation records in accordance with all regulatory guidelines. Responsible for assigning both CPT procedure codes and ICD-9 diagnosis and procedure codes when applicable. Receives and reviews ED reports on a daily basis (unbilled accounts, LCD s) to identify and correct accounts held for edits or missing information to identify and correct accounts held for edits or missing information. Codes information provided by referring physician for outpatients for the purpose of reimbursement. Verifies appropriateness of ICD-9 codes with CPT codes and / or charges. Refers identified issues to appropriate charge generating departments as appropriate. Is responsible for reporting identified safety issues such as hazardous environments (i.e. damaged floors/walls/ceiling tiles/unsecured areas) and medical errors, etc.
Must read, write and speak English. High school diploma or equivalent. Knowledge and experience of ICD-9-CM and CPT coding with 2 years Outpatient coding experience in an acute care setting preferred. Completion of the following courses required: Medical Terminology, Human Anatomy and Physiology and Disease Process. Completion of the following courses preferred: Pharmacology and Pathology. Knowledge of Ambulatory Payment Classifications (APCs) and Local Coverage Determinations (LCDs) preferred. AAS degree or clinical background preferred. Licensure/Certification/Registration: CCS/LPN preferred. CCS, CPC or CCS-P within 2 years of employment preferred. Successful completion of on-site personnel general orientation. Successful completion of department specific orientation. Excellent interpersonal, oral and written communication and organizational skills required. Must maintain a professional demeanor. Must display a proven analytical capability and the ability to work independently with minimal supervision.