Novant Health UVa Health System
The employee’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understand how he or she contributes to the health system’s vision of achieving that commitment to patients and families. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies. Functions includes but are not limited to working charge review work queues for assigned non-surgical practices to ensure the completeness and accuracy of coding clinical diagnosis and procedures.
With minimal supervision, review and codes work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provides provider education and regular feedback on ICD-10 and correct coding issues. Evaluates and identifies front-end and back-end error trends for training needs and brings them to the attention of the coding manager.
Communicates and participates in departmental meetings and initiatives involving coding and the revenue cycle enhancement process. Demonstrates a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, HCPCS and CMS guidelines.
Maintain adequate knowledge of coding, compliance and reimbursement procedures through review of information provided by RCS, payer policy updates and coding manuals: Provides coding assistance through interpretation of guidelines and communication to practitioner. Must be accurate in coding of diagnostic and procedure services in accordance with national coding guidelines and appropriate information reimbursement requirements. Responsible for responding to coding, billing and collection inquiries.
1704. All other duties as assigned.
High School Diploma: Required
Minimum of two years healthcare experience with at least one year of professional coding experience: Required
Two years of customer service experience in a clinic setting: Preferred
RHIA, CPC, CPC-A, CCS-P or RHIT: Required
Certified Outpatient Coding (COC): Required
Additional Skills Required:
Working knowledge of Current Procedure Technology (CPT), ICD-9 and HCPCS coding. Experience with EPIC Resolute Billing preferred. Ability to effectively communicate and work with patients, physicians, staff and administration. Outstanding written and verbal communication skills. Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle is key. Working knowledge of Current Procedure Terminology (CPT), ICD-9, ICD-10 proficiency and HCPCS coding.