Coding Quality Assur Spec III

Job description

Job Duties & Responsibilities Assigns ICD-10-CM, ICD-10-PCS, and/or CPT codes. Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes. Communicates with and provides feedback to the education team and/or providers. Reviews patient charges to determine necessary coding to complete the account. Identifies principle and secondary diagnoses and procedure codes from the electronic medical record. Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. Sequences diagnosis and procedures to generate appropriate billing. Queries physicians to obtain diagnosis if not clearly provided in records. Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials). Assists other coders in resolving coding problems. Provides ICD-10 and CPT, for physician research projects, and for quality reporting purposes. Completes abstracts for records as appropriate. Assists in correction of problem accounts. Reviews charts for completeness. Participates in education and maintains certification. Assists in auditing records. Maintains c...