Analysis Skills, Auditing, Billing, Cardiology, Code Reviews, Current Procedural Terminology (CPT), Customer Support/Service, Documentation, Financial Management, Healthcare Common Procedure Coding System (HCPCS), Healthcare Reimbursement, ICD-10, Medical Coding, Reimbursement, Team Player, Training/Teaching
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.
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.