mainegeneral
Waterville, ME
Job Summary Assigns diagnosis and procedure codes to ensure quality documentation and accurate reimbursement for services provided.
Job Description Assists with reconciling patient lists/census/discharge reports to track complete and accurate documentation/charges are obtained for each service rendered.
Abstracts key non coding elements necessary for accurate billing (example: surgeon, surgical episode, discharge disposition) and manages worklists of incorrect claims and corrects to further support accurate billing. Reports back to providers and/or administrators regarding missing information.
Reviews complex visit documentation from outpatient and/or ancillary areas to identify appropriate diagnostic and procedural codes (examples: ED, Cancer Center, Outpatient Surgery, Observation, Infusion).
Uses coding guidelines and clinics to assign and sequence appropriate codes for 3-5 outpatient and/or ancillary patient areas in clinical information systems, including the assignment of...