- Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT, ICD-10 and HCPCS coding to these services.
- Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
- Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is capture for all patients.
- Monitors and follow up to ensure all services that can billed are captured and coded for billing and no charges are incorrectly charged.
- Reviews all physician documentation to ensure compliance with the third party and regulatory guidelines.
- Works in conjunction with the reimbursement staff to answer all inquiries regarding coding and billing for services.
- Works in coordination with the other members of the business office as necessary.
- Participates in administrative staff meetings and attends other meetings and seminars.
- Assists in evaluation of reports, decisions and results of department in relation to established goals.
- Recommends new approaches, policies and procedures to influence continuous improvement in the departments efficiency and services provided.
- Uses outcomes management computerized information systems to statistically analyze outcomes data including practice patterns.
- Compiles data into reports for the manager or committee including and analysis of trends and patterns.
- Fulfills internal and external requests for outcome data, including developing special reports.
- Participates in presentations to educate staff on outcomes and plans of correction.
- Collaborates with the clinical team to use outcomes data in education.
- Helps train clinicians or other staff on new protocols
Coding Auditor - Lawrenceville, GA, United States - TEKsystems
Description
DUTIES AND RESPONSIBILITIES:
Certifications:
CPC Coding certification required, RHIT preferred
Experience:
5+ years of hospital coding experience required
Oncology/Hematology coding experience preferred
2+ years of coding audit experience required
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.