Carilion Clinic

Job Summary Conducts chart audits. The audit process consists of reviewing documentation in the patient's record regarding orders, medications, supplies used and procedures performed and ensuring that all have been charged appropriately. Makes adjustments to the patient's account either adding or removing charges as supported by documentation. Conducts education sessions one on one or with groups to improve charging accuracy. Performs chart audits in a timely and accurate manner. Records existing charging weaknesses and notifies internal department of deficiencies and trends. Contacts necessary staff for additional documentation needed to support charge(s) billed. Attends professional development seminars/inservices to remain up-to-date in clinical procedures and medical documentation required to support them. Submits analysis of audit results and recommendations to department management. Provides hospital personnel with inservices to increase their awareness of...

Job Summary Welcome to a promising future with this unique career opportunituy. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in. The Inpatient Coder is responsible for concurrent or retrospective coding of inpatient accounts, using ICD-10 CM coding guidelines. Requires daily consultation with physicians to ensure accurate capture of the principal diagnoses and procedure, and Present on Admission Indicators to ensure proper APRDRG, APDRG or DRG assignment for reimbursement and clinical reporting. Acts as a documentation improvement consultant with the physicians, and assists them with correct documentation for coding and...

Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in. The Coder position reviews clinical documentation and diagnostic results on Ambulatory records as appropriate to extract data and applies appropriate ICD-10 CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. The job duties of the Coder include, but are not limited to, the following: Coordinates resolution of discrepancies in clinical charge coding through Revenue Auditor Division of Revenue Cycle Management. Consults with physicians to...

The Outpatient Coder is responsible for coding diagnoses and procedures of Outpatient Diagnostic and Hospital-based Clinic records using ICD-10-CM coding system. Identifies cases which do not meet medical necessity and consults with ordering physicians for additional information to appropriately code the account for compliance and reimbursement. Responsible for maintaining a working knowledge of CMS and other payer guidelines. OP Organization-wide volume totals approximately 290,000 - 300,000 accounts per year. The primary job duties of the Coder-Outpatient includes, but is not limited to, the following: Performs ICD-10-CM coding of Outpatient and Hospital-based clinic records, assigning and sequencing codes according to official coding guidelines. Identifies accounts in which the diagnosis provided does not support medical necessity for the diagnostic procedure performed and acts as the first line of consultation to the physician to clarify and...