TEKsystems
Los Angeles, CA
Description • Review emergency department medical records to assign accurate ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers. • Accurately assign facility Evaluation and Management (E/M) levels in accordance with client-specific emergency department leveling guidelines and facility charging methodologies, including knowledge of the ACEP tool. • Analyze documentation from nursing staff, physicians, ancillary departments, and diagnostic services to ensure complete code assignment and charge capture. • Apply official coding guidelines, CMS regulations, National Correct Coding Initiative (NCCI) edits, and payer-specific requirements. • Review accounts for appropriate assignment of procedural services and injections/infusions when applicable. • Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. • Maintain compliance with Medicare, Medicaid, commercial payer, and organizational...