The Coder Abstractor is responsible for the charge capture process for professional charges within the Munson system. This includes verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures. The role involves assigning diagnostic codes, procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson. Responsibilities also include performing data entry, resolving discrepancies, and serving as a liaison between the Central Billing Office (CBO) and sites/departments. Additionally, the Coder Abstractor will assist in the orientation and training of new employees in the coding and charge capture area. The role requires reviewing office-based electronic charges and encounter forms for completion and accuracy, including ICD-9/10CM, CPT, and HCPCS modifier assignment, aiming for a 95% accuracy rate. They will also review and interpret physician documentation of surgical procedures to accurately assign and enter billing codes, identifying all applicable diagnoses and procedures. Charges must be coded and entered within two business days, working with the central billing team. The position involves identifying educational needs and/or compliance issues and reporting them to the Director of the Central Billing Office, performing accurate data entry, and resolving coding discrepancies. The Coder Abstractor will also obtain and maintain education appropriate to the position and serve as an expert resource for physicians, office management staff, and central billing staff, researching and responding to coding and compliance questions, and coordinating accurate assignment of procedure codes and modifiers. Other duties as assigned.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree