JobMesh

HIM Coder I- ED Coding

WellSpan Health · York, Pennsylvania, US

General Summary Collects, reviews, retrieves and codes data from electronic records and scanned physician orders on outpatient ancillary or emergency account...

Job description

General Summary Collects, reviews, retrieves and codes data from electronic records and scanned physician orders on outpatient ancillary or emergency accounts, assigning the appropriate ICD-10-CM codes for the purposes of compliance with regulations, statistical compilation, and optimal reimbursement. Duties and Responsibilities: Essential Functions: - Reviews physician reports, radiology reports, physician orders and other documentation and assigns appropriate ICD-10 diagnoses codes following established organizational guidelines and to support medical necessity - Follows Official Guidelines for Coding and Reporting using encoding software to identify coding edits and reviews Epic documentation to institute appropriate course of action. - Works assigned Epic Account, Charge Review or Claim Edit work queues to identify and investigate Epic edits for coding errors, charge capture, or claim edits and reviews Epic documentation to institute appropriate course of action according with NCCI, LCD, OCE and CPT guidelines. Works with billing and ancillary departments to resolve billing edits and inquiries. - Abstracts clinical data, including Attending Physician, Surgeon, Consultant, and d...