Cook Children's Health Care System

Summary The Certified Professional Coder/Analyst is responsible for abstracting, coding, billing and accounts receivable functions for all hospital based providers employed by Cook Children's Physicians Network. This position is also responsible for analyzing and resolving billing errors/edits, denials and initiating appeal disputes. The Certified Professional Coder/Analyst must be accurate when recording patient information or coding medical documentation. Certified Professional Coder must be able to effectively use coding and classification software and the electronic health record (EHR) system that their healthcare organization has adopted. Key duties of the Certified Professional Coder/Analyst are making required patient account adjustments, initiating claim appeals process on behalf of CCPN providers; post manual charges, serves as liaison between assigned practice(s) and billing office. Certified Professional Coder/Analyst must exercise caution and possess a strong sense of...

Summary Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Job Description: Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records Identifies and abstracts specified information from the patient medical record and enters data into the medical record abstract data base system for billing and use in all types of CCHCS reporting Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as...

Summary *Remote in Texas* Requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs...