Responsible for assisting the Coding Supervisor with operational and administrative tasks including, but not limited to: TAP (Electronic Charge Capture System), working the certification of charges, running and working various TAP reports and other related activities. Responsible for ICD9 and CPT coding within the department. Translate medical services into ICD9 and CPT codes for charge entry. Preparing charges for entry into the IDX system through an interface (TAP) or for manual charge entry for all procedures, visits, tests, consultations, etc… Exercise independent judgment on a regular basis regarding application of CPT codes.
Reports directly to Coding Supervisor
Specific Duties & Responsibilities
Responsible for ICD10 and CPT coding within the department. Translate medical services into ICD10 and CPT codes.
Responsible to complete daily EPIC Work Queues as assigned.
Translate medical services into ICD10 and CPT codes for charge entry. Preparing charges for entry into the EPIC system through an interface (TAP) or for manual charge entry for all procedures, visits, tests, consultations, etc
Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
Follow ICD10 codes to ensure diagnostic codes are appropriate for each specialty. Follow limiting coverage guidelines for diagnostic coding.
Use ICD10 and CPT codes according to payer guidelines for supplemental information.
Keep current with third party/payers specific coding guidelines.
Remains current with Coding updates, AAPC rules and regulations, ICD-10-CM, CPT, HCPCS codes, local coverage determinations (LCDs), and national coverage determinations (NCDs).
Responsible for maintaining a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults and medical records.
Use CPT book as reference to ensure no deleted codes are used.
Bundle appropriately for CPT and payer guidelines.
Verify location of codes for appropriateness.
Verify correct charge entry by provider type.
Perform charge entry of coded services directly into IDX system.
Provide feedback to improve the charge entry process.
Identify charge entry issues and assist in the resolution of EPIC Edits.
Performs other duties and functions as directed and/or requested.
Requires moderate sitting, standing, walking. Extensive use of the computer.
Exposure to normal office equipment.
Minimum Qualifications (Required)
CPC certification required
High School/GED required.
One (1) year related experience required.
Completion of medical coding training program may be considered in place of on-the-job experience.
Knowledge of CPT and ICD-10 coding required.
Must be able to code medical notes.
Recent experience with Medicare regulations required.
Special Knowledge, Skills, and Abilities
At least one (1) year physician coding experience required.
Extensive knowledge of IDC-10-CM and CPT coding principals and guidelines required.
Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing required.
Strong leadership, communication and interpersonal skills required.
Excellent written, organizational, analytical and critical thinking skills required.
Computer literacy required.
Classified Title: Coding Specialist Working Title: CO Coding Specialist Role/Level/Range: ATO 40/E/02/OE Starting Salary Range: $17.42 - $23.95 /Commensurate with Experience Employee group: Full Time Schedule: Monday - Friday, 8:30 am - 5:00 pm / Exempt Status: Non-Exempt Location: 16-MD:JH at White Marsh Department name: 10002800-SOM DOM Billing Personnel area: School of Medicine
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