Minimum Education/Experience:
- Specialized/Technical Training – Graduation from a formal coder training program or completion of academic class in medical coding. (Combined experience/education as substitute for minimum education.)
- 2+ years with hospital coding or charge audit expertise
- Combined experience/education as substitute for minimum education. *Two additional years of coding experience may be substituted for education requirement.
Primary Accountabilities:
- Support Soarian Financials Billing Edits and Billing Processes
- Reviews and reconciles procedure documentation with supply charges and physician documentation
- Partner with staff and physicians to correct inaccuracies in HCPCS, ICD-10, CPT coding to accurately capture services provided
- Enters Cardiac Cath Lab procedure and supply charges into electronic billing systems (PBAR)
- Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate review of ICD10 and/or CPT code assignments with physician.
- Reviews, reconciles and corrects Cardiac Cath Lab charges in Cerner
- Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes.
- Provides completed patient data to billing staff or designated personnel.
Performs other duties as assigned.
