Care New England Health System
Providence, RI, USA
Responsible for accurate coding of all Integra Community Care Network, LLC, and Women & Infants claims generated through inpatient services, outpatient services, outpatient professional services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic for HCPCS), and CPT Assistant published by American Medical Association /ICD-10-CM Official Guidelines, CPT-4 manual, HCPCS and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Coders may assist in education of Integra and Women & Infants staff who provide a reimbursable service.
Duties and...