JOB SUMMARY : Assigns ICD-9 and CPT codes to clinic office visit, hospital, lab and x-ray (as applicable) tickets in an accurate and timely manner, ensuring compliance with all applicable guidelines and regulations. Enters office visit charges into the system and monitors the progress of the claim. Resolves denied claims due to coding issues. Reconciles daily charge entry system batches to ticket totals entered. Reviews outstanding encounters list weekly and resolves those outstanding. Conducts audits of physician medical documentation and coding as assigned. Other duties as assigned.
KNOWLEDGE/EXPERIENCE : Knowledge of ICD-9-CM and CPT coding guidelines. Knowledge of anatomy and physiology, medical terminology and disease processes.
EDUCATION : High school diploma or GED preferred. Successful completion of advanced healthcare course work preferred. Approximately three to five years work experience in medical coding preferred. Has working knowledge of medical terminology, coding and insurance language.
LICENSE/CERTIFICATION/REGISTRY : RHIA, RHIT, AHIMA, AAPC or PMI required.
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