Review and create rules by keeping abreast of coding and documentation requirements, analyzing third party regulations and publications, and reviewing third party payment rejections and inputting data into the editor software.
January 14, 2023
Required Written and verbal communication skills Required Medical terminology use and understanding Required Organizational skills Required Computer skills appropriate to position Required Customer service skills Required Knowledge of regulatory standards appropriate to position.
February 18, 2023
Assists coding educator in development of education specific to issues/opportunities identified during auditing/monitoring of coding.
April 12, 2023
Completes mandatory education and training in order to maintain organization and department-specific competencies and requirements.
April 19, 2023
Performs code-based charge audits to assure compliant claims data and monitors adherence to government and third-party billing requirements to optimize revenue generation.
April 27, 2023
Prepares reports based on audit results (including recommendations for improvement).
April 29, 2023
Collaborates with coding manager and coding educator to identify educational opportunities from results of quarterly audits.
May 06, 2023
Provides feedback to the coding management team and staff regarding highly complex ICD-10-CM/CPT-4 or ICD 10 CM/PCS coding and DRG/APC assignment and related clinical documentation.
May 15, 2023
Works under the supervision of the Central Billing/Coding Supervisor performing duties in an area where procedures are standardized, but where frequent independent decisions are required.
May 19, 2023