Assigns codes based on clinical documentation to office-based visits including procedures utilizing International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS). Adheres to the organization and departmental guidelines, policies and protocols. Sequences diagnoses and procedure codes as outlined in CPT, ICD and HCPCS Coding Guidelines while adhering to local and national governmental payer guidelines. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Follow up and obtain clarification of inaccurate documentation as appropriate. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. Meets then exceeds departmental quality and productivity standards. Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable.
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Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees