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 records and reports for quality assessment, audit and billing purposes.

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-4), and other services (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.Meets WellSpan Coding Compliance Guidelines.

Qualifications

Minimum Education:

High School Diploma or GED Required

Work Experience:

3 years Relevant experience. RequiredAny experience in Surgical Coding a major plus

Licenses:

Certified Professional Coder Upon Hire Required orCertified Coding Specialist - Physician Based Upon Hire Required orCertified Medical Coder Upon Hire Required orCertified Outpatient Coder Upon Hire Required

Courses and Training:

A Specialty Coding Certification. Upon Hire Required

Knowledge, Skills, and Abilities:

Knowledge of ICD-10-CM, CPT-4, and HCPCS coding.Basic computer skills. You’re unique and you belong here.

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