CAPITAL AREA HEALTH NETWORK
Richmond, VA, USA
Job Description Job Description JOB SUMMARY Capital Area Health Network’s Coder will analyze medical records and identify documentation deficiencies; review and verify documentation support diagnoses, procedures and treatment results and identify diagnostic and procedural information. ESSENTIAL FUNCTIONS Review the use of ICD10CM, CPT, and HCPCS code sets with clinical documentation to ensure accuracy, guideline compliance and optimal reimbursement Review findings and abnormalities of trends of how codes are used via claims denials, rejections, resubmissions…etc. Communicate pertinent findings with Providers and other Clinical/Billing staff for proper future reimbursement Prevent unnecessary claim denials due to coding and other foreseeable billing errors, before claims are submitted for processing by payers, by performing a pre-audit/review of patient encounters prior to submission Pre-Audit of daily claims of 7 medical...
