Position supports the Andrews Institute at Plano which consists of surgeons, primary care sports medicine providers and advanced practice providers. Assigns ICD-9 CM and CPT codes to inpatient and outpatient encounters. Research codes on behalf of providers. Supports and educates providers regarding professional coding, documentation and billing. Works collaboratively with the clinical and surgical authorization teams to improve charge capture. Identifies revenue cycle improvements and helps implement workable solutions. Works collaboratively with the system’s HIM department. Participate in clinical documentation improvement initiatives. Ideal candidate is comfortable with direct interactions with physicians daily to perform continual communications and education as reimbursement trends change specific to orthopedic market.
ESSENTIAL DUTIES AND JOB RESPONSIBILITIES:
Reviews patient’s entire medical record and assigns appropriate ICD-9 CM and CPT diagnosis and procedure codes and sequencing for inpatient and outpatient encounters within 4 days of discharge.
Codes outpatient clinic accounts as needed.
Code surgeries as needed.
Research surgical coding with other orthopedic coders as requested by providers.
Codes ED visits as needed.
Codes I/P visits as needed.
Querie physicians when documentation is unclear or not recorded in the patient’s record.
Review clinical documentation for improvement opportunities.
Provide education on improving clinical documentation.
Maintains high degree of accuracy in professional coding at all times.
Coordinate authorization specialists (clinic and surgery) to ensure a successful revenue cycle.
Ability to apply official ICD-10 CM coding guidelines; effective organizational skills and attention to detail; excellent data entry and computer skills including familiarity with Microsoft Office applications; ability to interact with peers, medical staff, and hospital department representatives in a manner that supports Children’s mission and values.
Two-year Associate's degree or equivalent experience, required
Four-year Bachelor's degree or equivalent experience, preferred
LICENSES and CERTIFICATIONS:
Certified Coding Specialist for Physicians (CCS-P) through American Health Information Mangement Association (AHIMA). Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC).
Three years coding experience in professional services required. Orthopedic specific experience preferred.
Sedentary - Exerting up to 10lbs. occasionally or negligible weights frequently; sitting most of the time.