Utilizes technical coding expertise to reviews the medical record thoroughly, utilizing all available documentation abstract and code physician professional services and diagnosis codes (including anaesthesia encounters, operative room and surgical procedural services, invasive procedures and/or drug infusion encounters). Additionally, may include coding for Evaluation and Management services, bedside procedures and diagnostic tests as needed.
Following 95% or more accuracy rate in coding using the Rules laid by the international coding guidelines and the local health/insurance authorities.
Provides documentation feedback to all Physicians/Clinicians /Nursing Team via formal querying process.
Maintains coding reference information.
Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate.
Responsible for staying update on new releases related to ICD 10 AM and CPT code sets, HCPCS guidelines and communicating to management for decision making or processes.
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