Job Description

Coder Abstractor

SUMMARY Responsible for charge capture process for Technical and Professional charges within the Munson system including but not limited to: verifying and/or analyzing medical record and/or encounter form documentation or electronically captured documentation to determine the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson; performing data entry; and performing discrepancy resolution. Serves as a liaison between Radiation Oncology and sites/departments. Assists in the orientation and training of new employees. Responsible for updating staff and physicians on billing/coding changes when appropriate.

ENTRY REQUIREMENTS This position requires as Associate's Degree in Health Information Technology or equivalent, or a Bachelor's Degree in Health Information Management preferred.

Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Radiation Oncology Certified Coder (ROCC) is required.

Must maintain certification at all times.

Effective verbal, written and interpersonal communication skills with the ability to comfortably interact with diverse populations.

Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Must have knowledge and ability to learn, access and utilize the relevant computer programs listed below within 90 days of hire: - ARIA-Oncology EHR - STAR - PowerChart - Microsoft Office - ABO - Right Fax and PDF Creator

Ability to exercise independent judgment within scope of knowledge and responsibility.

ORGANIZATION

Reports to Radiation Oncology Manager

SPECIFIC DUTIES

  1. Supports the Mission, Vision and Values of Munson Healthcare.

  2. Embraces and supports the Performance Improvement philosophy of Munson Healthcare.

  3. Promotes personal and patient safety.

  4. Uses effective customer service/interpersonal skills at all times.

  5. Responsible for reviewing provider and radiation based electronic charges and documentation for completion and accuracy, including accuracy of ICD9/10CD, CPT and HCPCS modifier assignments. Codes and enters charges at 95% accuracy rate.

  6. Reviews and interprets physician and staff documentation of procedures to accurately assign and enter billing codes. Identifies all applicable diagnosis, procedures and codes.

  7. Works with hospital/professional team to ensure charges are coded and entered in a timely manner.

  8. Identifies educational needs and/or compliance issues and reports them to the Manager. Coordinates on-going education of department staff and physicians.

  9. Performs accurate data entry of charges.

  10. Responsible for resolving coding discrepancies related to coding and revenue capture.

  11. Responsible for performing periodic audits of technical and professional charging and report findings to the Manager.

  12. Participates in internal and external audits related to compliance/coding/revenue.

  13. Serves as an expert resource for physicians, department staff and hospital billing staff. Researches and responds to coding and compliance questions, coordinates accurate assignment of procedure codes and modifiers.

  14. Responsible for obtaining and maintaining education appropriate to the position.

  15. Responsible for maintaining billing/coding guidelines/reference materials

  16. Responsible for creation of reporting mechanisms to improve/maintain billing/coding efficiencies.

  17. Performs other duties and responsibilities as assigned.

Company Info

Company Name
Munson Medical Center
Zip/Post Code
49696
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